Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 24/10/08 for Mary Chapman Court

Also see our care home review for Mary Chapman Court for more information

This inspection was carried out on 24th October 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a relaxed homely feel that welcomes visitors who have become involved with the home and attend fetes and events throughout the year. The residents who are able to voice their opinions speak highly of the home and feel well cared for. The management of individual residents personal money is carried out in a robust, safe manner to ensure the money is banked and that interest on that money is added monthly.

What has improved since the last inspection?

Since the last inspection some areas, especially some individual bedrooms have been decorated. The Home has just started to introduce new care plans which appear far more person centred and are written with the residents. In each room a smaller version of the care plan is in place to ensure each staff member reads the detail to tailor the needs for the resident. The home does now have an activities organiser who is helping the residents who are able to interact.

What the care home could do better:

The home does need to recognise that the deteriorating mental health of residents now needs specialist staff to care appropriately. More staff who are experienced and/or trained in understanding residents needs should be employed. Occupation and stimulation needs to be available for all residents and not just for the people who are vocally and mentally able to interact. Medication records and administration procedures need to be robust to ensure that safe handling of medication is adhered to. The meals need to be improved with more choice, easier to read menu`s and presented correctly enabling residents to have their say. The bathrooms all need to be usable and homely for every resident to have the opportunity to bathe when they wish. Cleanliness through out the home needs to improve to ensure good infection control procedures are in place. The home needs to have stability of management. The residents, staff and families have seen a lot of changes over the last year and clear direction is now required.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Mary Chapman Court Mary Chapman Close Dussindale Norwich Norfolk NR7 0UD     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ruth Hannent     Date: 2 4 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Mary Chapman Court Mary Chapman Close Dussindale Norwich Norfolk NR7 0UD 01603701188 01603436848 marychapman@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Southern Cross Care Services Ltd care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Up to thirty-four (34) Older People, not falling into any other category, may be accommodated. Date of last inspection Brief description of the care home Purpose built in 1997, Mary Chapman Court is located in a residential area on the outskirts of Norwich in Thorpe St Andrew. The home can accommodate 34 older people in 28 single (26 with en-suite) and three double rooms (1 with en-suite). The accommodation is on the ground and first floors. The first floor can be accessed by passenger lift. The surrounding lawns and garden areas are well maintained and can be accessed by service users. There is ample parking space at the front and to the rear of the premises. The local GP practices, and other health professionals support the home. The range of fees charged is #350 - #450 per week 0 Over 65 34 Care Homes for Older People Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We carried out this key inspection by looking at the Annual Quality Assurance Assessment (AQAA) that had been completed by the previous Manager. We collated all the surveys sent from residents, families, staff and health professionals. We spent a day at the home talking to residents and their families and visitors, observing and talking to staff, looking at records and relevant information. Time was spent walking the building and a meal was taken with the residents at lunchtime. Care Homes for Older People Page 5 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 6 of 27 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual contracts are not all in place for private paying residents. The home has a good procedure to ensure residents are assessed fully ensuring that their needs can be met on admission Evidence: The home needs to look at the contracts issued to residents to ensure that a clear statement is giving residents who pay privately the understanding of the terms and conditions for living in the home. (Quite a few surveys received from people living in the home told us that the resident had not signed or seen a contract). People who are placed by Social Services are governed by the local authority contract. The Manager reflected on the procedure for assessing any potential residents giving a clear picture of how the process of assessing people takes place. A form that triggers Care Homes for Older People Page 9 of 27 Evidence: all the correct questions was seen and a completed version was available of a recently assessed person. We chatted with a resident who has only been in the home for a few weeks and she was able to tell us about the visit to the home, a visit taken to her own home and the paperwork of questions that had helped her and her family decide the home was suitable and could meet her needs. The assessment paperwork is a generic form used for all Southern Cross Homes and is detailed to include all possible needs. This home does not specialise in Intermediate Care. Care Homes for Older People Page 10 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The individual care plans are in place but the need to continue to improve the person centred approach is still in the early stages. Heath care support is available and needs in this area are met. The administration,storage and record keeping of medicines is not carried out accurately at all times. Residents are treated with privacy and dignity at all times. Evidence: The home has just introduced a new type of care plan and two care plans of the new style were looked at in depth. The resident who has one of these new plans was spoken to and the family member visiting was also able to talk about the care offered. The details written for the person was very much focused as if she had written it and made it person centred. I need to have help with getting washed and dressed. I will Care Homes for Older People Page 11 of 27 Evidence: need to have my food cut and I may need help with eating. Although these care plans are very detailed it is not always evident how well the care is offered. It was noted and also discussed with a family member that the quality of how the personal care is carried out is not always followed. On walking the building a number of residents were noted to not have their nails cut and dirt had not been removed. The family member spoken to had cut the nails of her mother and rubbed them with hand cream as they were so dry and the nails were digging into her hands. Many other residents looked neat and tidy with clean clothes and they have now got a care plan folder with relevant information in them. The reviews of the new format will need to be checked on the next inspection. The Manager talked about the support given by the local District Nurses and one was spoken to during this visit. Information was passed to the relevant staff member and recorded. Each care plan seen has a record sheet for any health visit that takes place. All service user surveys stated they were happy with the health care support they received. The medication records were looked at during the visit. Noted were the records that were incorrect regarding the controlled drugs. The separate drugs record showed a number of controlled drugs that should be in the double locked unit. On checking the cabinet some medication was not inside. The Manager informed us that the people these drugs belonged to have passed away but the records and receipt of the drugs were incorrect. It was also noted that some eye drops were out of date and that one person who had drops for each eye had both liquids open with no record of which eye it should be put in or on what date the liquid had been opened. The Medication Administration Records had been audited and noted was the check on three errors of a medication administration that had been missed with the Manager following up the staff member who had been responsible these recordings. The trolley that holds the day to day medication did hold a number of boxes of medication that really should be put into the blister system to ensure the process of safe administration is upheld. Through the day we noted that residents were spoken to in a dignified manner. All care was carried out in the privacy of the persons room and doors were knocked on by the staff before they entered. Care Homes for Older People Page 12 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some people do have leisure and social activities but this is limited to people who are more able to understand and take part. Visitors are welcomed into the home at any time. People do have autonomy and choice. Meals are limited in choice and quality and not served in a suitable manner. Evidence: The home now has a designated activities organiser who was on duty during this visit to the home. A group of residents had joined together in the upstairs lounge scrabble session and noted around the walls downstairs were posters and decorations that had been created by residents. In the entrance and on notice boards was the programme for the weeks activities. The residents in the downstairs lounge had no activities throughout the day. The television was on with chairs placed so people could not watch it if they wanted to. Signs of distress were noted. During the afternoon we sat in the lounge for 30 minutes with no staff member seen. The drinks trolley arrived and Care Homes for Older People Page 13 of 27 Evidence: still no care staff appeared. One lady kept asking for the toilet another was shouting and another saying I dont know where I am. There was nothing to stimulate or occupy the residents and no staff available. The home gives the appearance of offering activities to people who can interact and have capacity to understand. Those who appear to have some form of mental health related problems are left to occupy themselves. Many visitors were seen to be coming and going throughout the day. Some comments had been received via surveys completed and each visitor was noted to be greeted by staff members in a welcoming manner. Residents do manage their own affairs or have the support of family or friends. Personal belongings were noted throughout the home in residents individual rooms making them cosy and individual. A meal was taken with the permission of the residents in the downstairs dining room. The choice was limited with fish and chips, scampi and chips or egg. One person had mashed potato that she left as the they have put too much liquid in it and it was noted to be very watery. The food was on the plate so quantity could not be decided. The pudding was tinned fruit cocktail or ice cream. The tables looked clean and a napkin was available. The care staff serving the meal had a plastic white apron on (these are not different to the ones used for personal care). When a spoon was required the staff member passed it by holding the spoon part and not the handle. The drink was already in the glass with no choice offered. One gentleman had his food cut up for him without being asked if he needed this help even though he was very capable of answering questions. The meal did not look appetising and although residents said the meals are OK the surveys talked of food sometimes being cold. A menu was available but in small print for the whole week. People were overheard trying to read them but were unable to so gave up. Care Homes for Older People Page 14 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and families will have their complaints listened to and acted upon. Policies are in place and training is given to all staff to ensure residents are protected from abuse. Evidence: The home has a complaints procedure that is available for all to see. The surveys from residents and families all said they would know how and who to complain to. One survey said that the home could act a little quicker when small issues need addressing but that the Manager was very approachable. On talking to residents and one family member on the day of this visit they were all happy to talk to the Manager who has also started a surgery session (Saturday morning) for people who cannot always get into the home through the week. The home has a policy in place to ensure staff follow a procedure that will safeguard any resident and protect them from abuse. One staff member spoken to understood what whistle blowing was and how she will talk to her Manager of any concerns that might be seen as abusive. Noted in the staff personnel files were certificates to show people had attended training on the protection of vulnerable adults Care Homes for Older People Page 15 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building is suitable for older people and maintained fairly well. The bathrooms need improvement to make them suitable and welcoming. Residents individual rooms are suitable and meet their needs. The cleanliness of certain areas needs to improve. Evidence: The home is a suitable building for the purpose of caring for older people. The grounds are clean and tidy with neat gardens. Each room was noted to be light and bright, except for the upstairs corridor which could be painted lighter as there is no natural light. Throughout the home it was noted that many of the panes of glass have blown in the double glazing units making visibility out a little limited in some rooms. The maintenance records were looked at and appeared in order and were discussed with the maintenance officer. One area of concern is the bathroom facilities that are very institutionalised with stained flooring and no homely pictures or welcoming environment. Two bathrooms were not in use and were being used as a store room for equipment and wheelchairs. Care Homes for Older People Page 16 of 27 Evidence: As the standard is for one bathroom to eight residents then all bathrooms should be suitable and in working order. The baths that are usable do have an assisted bath installed and the home does have manual hoists that were all seen to be in service date. Each bedroom seen was personally decorated with residents own pictures, ornaments and photographs on display, giving ownership of that room to the resident. It was noted that some of the furniture was looking shabby and on trying some of the bedside lockers it was noted that the locks do not work. On walking through the building it was noted that some areas had an odour, especially one bedroom on the top floor. The two sluices (One was out of action) were in a dirty state and had the appearance of not being cleaned for a while. This was discussed with the Manager who also saw the state of these rooms. The laundry room has suitable machines to manage a hot sluice wash and the clothing and linen seen was clean and fresh. Care Homes for Older People Page 17 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. More staff need to be on duty at the busy times of day. Staff are slowly gaining a recognised qualification in care. The recruitment process is robust to ensure residents are cared for by staff who have been through the homes recruitment procedures. The statutory training is in place and on a rolling programme for all. More specialised training needs to be in place to ensure staff are competent to do their jobs fully. Evidence: Many of the surveys received stated that staff are not around as much as they should be to assist with tasks. This was noted on the day of the visit by observation taken in the downstairs lounge for forty minutes and no staff member appeared until the kitchen assistant arrived with the drinks. During this period two residents were getting anxious and needed reassuring as mentioned previously in this report, there was no stimulation in the room other than the television on, that no one could see as it was turned away from the chairs. A residents relative who was spoken to also felt more time should be offered to ensure drinks were not left to go cold before staff could offer the people who needed assistance, the opportunity to drink a hot drink. On the day of Care Homes for Older People Page 18 of 27 Evidence: this visit there were 4 staff on care duties but the needs of some of the residents meant more time was required to offer the care with quality that is tailored to the needs and rotas should be looked at to ensure the level of care required can be met. (This was a requirement on the last inspection report). The home has improved the number of staff who have or are in the process of achieving an NVQ qualification. Three staff were noted to be about to complete NVQ 3. Two have achieved NVQ2 and all the new staff are being put forward for this training on completion of their probationary period. The training matrix for staff and recent training completed was evidenced by training certificates and a copy of the registers for each course attended. (seen) The home has a clear procedure for all staff who are recruited. Three personnel files were looked at which showed applications, contracts, two references, CRB, POVA and two forms of identification. On talking to a staff member the interview process appeared thorough and induction carried out appropriately and timely. Staff talked to us about the training programme offered and certificates were seen on file to evidence the training taken. One area mentioned that could help improve the service is the understanding of dementia. Observing the staff throughout the day it was evident that they did not know how to help someone who challenged the service. A repetitive comment from a resident was creating a lot of anxiety among other residents and was not dealt with in an appropriate manner. Care Homes for Older People Page 19 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Manager has many years of care experience but is new to the management role. The management approach of the home has an ethos that benefits the residents. The new manager is using different ways to determine the quality of the service to ensure the home is run in the best interests of the residents. The home has a robust system in place to ensure the residents financial interests are safeguarded. Staff supervision needs to be improved and be regular to ensure staff are supported to carry out their duties appropriately. The home does ensure that the health and safety of residents and staff is promoted and protected. Care Homes for Older People Page 20 of 27 Evidence: The new Manager has only been in post of a number of weeks and was the Deputy Manager previously. She has already started to bring in some new practises such as the new care plan model and is working with the new Deputy Manager in ideas for the future. Although previously experienced she is yet to achieve the Management Award or NVQ4 and although the previous Manager did become registered with the Commission, this person is no longer the Manager. The home now needs to register this new manager. Throughout the day it was evident just how approachable and easy to talk to the new Manager was. the surveys and relatives spoken to all spoke of her as a person who would listen. One resident called us to one side and made a point of saying The company have got the right Manager in post now. The Manager holds regular meetings with both residents and staff and has been gaining ideas to improve the quality. Residents surveys mentioned the improved activities and the recent fete that some residents helped to organise. No records were seen on quality assurance on this occasion but one resident did mention the questions asked about the home they lived in. She also said certain areas of concern raised in the past have improved. The home has a robust procedure for helping residents manage their money. The money deposited with the home is all receipted (seen) and placed in a bank account where monthly interest is calculated by the bank and placed against each residents name. Any resident wishing to have cash for everyday spends can ask and receive at any time. All records are held by the administrator and Southern Cross main office. Supervision of staff have not been as regular as required and some staff have not received a one to one session for a few months. One set of supervision notes were seen and the annual appraisals were available for inspection. The home does ensure that statutory training for health and safety does take place and this was evident on talking to staff, looking at certificates and seeing attendance records. the fire record book was looked at in depth and was up to date. Three different hot water taps were tested in bedrooms for, and all appeared at a hand hot temperature. The home has recently had a visit from the Environmental Health Officer with a few small requirements made. These have now been addressed and a certificate to say the kitchen is suitable has been issued. Care Homes for Older People Page 21 of 27 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 1 4,5,6 The registered providers are required to update and reissue the Service Users Guide and Statement of Purpose for the service. 31/08/2007 2 12 16 (m)(n) The registered providers are 31/08/2007 required to arrange suitable and appropriate activities and social stimulation for and in consultation with residents The registered providers are 31/08/2007 required to review the staffing levels and residents dependency levels to ensure adequate numbers of staff are on duty to meet assessed needs. The registered providers 31/08/2007 should submit an application to the Commission to register the manager of the home. The registered providers are 30/09/2007 required to review the quality of care through the homes quality assurance survey processes by seeking the views of those who use the service including other health care professionals. 3 27 18 4 31 8,9,10 5 33 24 Care Homes for Older People Page 22 of 27 Care Homes for Older People Page 23 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The home must ensure safe recording, handling and disposal of medication takes place at all times. To ensure that all procedures in the management of medication is as risk free as possible. 01/01/2009 2 12 16 The home must ensure that all residents have the choice of activities, interests and stimulation that is suitable for them. The residents need a variety of stimulus to offer a quality lifestyle. 01/01/2009 3 15 16 The quality of the meals provided and mealtime process needs to be improved. The meals are not of good quality or presented properly. 01/01/2009 Care Homes for Older People Page 24 of 27 4 21 23 The home must provide suitable and in adequate numbers assisted bathing facilities Residents should be able to have a bath with assistance when required. 01/02/2009 5 26 23 The sluicing facilities must be functioning and be kept hygienically clean. The home must ensure that residents are protected from cross infection by strict cleaning procedures. 01/12/2008 6 27 18 The home must ensure staff have training in the understanding of dementia The understanding of dementia care is required to meet the needs of those residents whos care requirements have developed and changed. 01/01/2009 7 27 18 The home must have staff that are rotad to ensure experienced personnel can offer quality care at all times. The residents who need more support to meet their needs need staff who are competent and in adequate numbers to care for them 01/12/2008 8 31 9 The Manager must work toward gaining a recognised qualification in management 01/06/2009 Care Homes for Older People Page 25 of 27 To ensure the manager has the skills and qualifications to manage the home appropriately. 9 36 18 The Manager must ensure staff are appropriately supervised and records retained The home must ensure that staff are carrying out their duties appropriately. 01/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 The home should ensure that all residents are aware of the terms and conditions when moving into the home and have a copy of a contract. The Home must ensure that the whole person needs are addressed with personal care and to include nail care. Meals should be presented so that choice of food and amounts can be offered to the individual and not all on the plate at the same time. 2 3 7 15 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!