Inspection on 07/06/07 for Meadowbeck Care Home

This inspection was carried out on 7th June 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

Meadowbeck Care Home 03/06/08

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

CARE HOMES FOR OLDER PEOPLE Meadowbeck Care Home 1 Meadowbeck Close Osbaldwick York North Yorkshire YO10 3SJ Lead Inspector Irene Ward Unannounced Inspection 7th June 2007 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 Meadowbeck Care Home DS0000069340.V335860.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. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowbeck Care Home Address 1 Meadowbeck Close Osbaldwick York North Yorkshire YO10 3SJ 01904 424244 01904 436216 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) Barchester Healthcare Homes Ltd Elizabeth Anne Plant Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (5) of places Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users in the Category PD to be: 1. 55 years or over 2. Require Nursing Care New Service. Date of last inspection Brief Description of the Service: Meadowbeck Care Home offers nursing care for older people. There are 60 registered places. The home is purpose built, set in its own grounds approximately two miles from the centre of York, where there are excellent amenities and transport links. Osbaldwick is a suburb of York and has local amenities. The home is owned by Barchester Healthcare Ltd. Meadowbeck Care Home has two floors, which are accessed by a vertical passenger lift and bedrooms are on both floors. There are 60 single bedrooms and all have en-suite facilities. The gardens have level access and seating areas and there is car parking available at the front and side of the home. The weekly fees on 7th June 2007 range from £488.00 to £700.00 and extras include costs for hairdressing, chiropody and individual items like newspapers. This information was supplied to the Commission For Social Care Inspection via the pre-inspection questionnaire received on the 11th May 2007. Residents/relatives and other interested parties are able to read inspection reports as they are on display in the home. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is what was used to write this report. • • • Information about the home kept by the Commission for Social Care Inspection. Information submitted by the Registered Provider in the Pre Inspection Questionnaire. Information from surveys that were sent to people who use the service relatives, carers and advocates, Health professionals, GP’s and Care Managers. Eight surveys were returned from people who use the service, two from relatives, two from health professionals and one survey was returned from a GP. Non-were returned from Care managers. An unannounced visit by two inspectors to the home lasting over seven hours. This visit included a tour of the premises, examination of records, observation of care practices and talking to people who use the service, care staff, ancillary staff and management. Looking at four peoples care files in detail, and two others briefly. • • People who live at the home are known as residents. What the service does well: The home provides really good food. Residents made comments such as “food is very good” “variation of food is very good here”. Residents also commented positively about the care they receive and made comments such as “Could not get any better - one of the best homes”. “Everyone is very pleasant and kind”. “They are all so nice here, always happy and treat you as a human being”. “Can have a laugh with the nurses”. “Staff are kind and respectful”. “Staff are very good, they made me feel welcome and look after me well”. The home employs an activities organiser, so that there is a wide choice of things to do at the home. A physiotherapist visits the home each week. They can assist people with their therapy as well as having the knowledge and skills to advise and support the care staff. They also lead a weekly exercise class. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The staff at the home need to continue to improve the records they keep, especially pre-admission assessments and care plans. These need to accurately reflect the care that is given as well as carrying out regular reviews to make sure the care is still appropriate and required. All boxed medication should be counted weekly. This is to check that the actual number of tablets tallies with the expected amount as a way of confirming that residents are receiving their tablets according to their prescription. Any discrepancies should be investigated so that they can be accounted for. Care staff should receive regular supervision at least six times a year so that they have the opportunity to discuss their work and gain support and guidance from more senior staff. To make sure that residents are not put at risk cupboards containing hazardous materials must be kept securely locked when not in use, and residents’ bedrooms should not be used as a store for their clinical equipment. Cold drinks should be made available at all times to residents living in all areas of the home. This will encourage and enable residents to help themselves, as well as making drinks more accessible for care staff to assist less able residents to drink adequate amounts each day. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 7 Repairs should be carried out to the door in the bathroom on the ground floor to make sure residents can be assured of privacy whilst bathing. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Meadowbeck Care Home DS0000069340.V335860.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 Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People who use the service experience good quality outcomes in this area. People’s needs are properly assessed prior to admission. This makes sure Meadowbeck is the right place for them to live. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager confirmed that a service user guide is sent to all prospective residents or their relatives when making an enquiry about the home. A welcome Guide is placed in the resident’s room before they are admitted into the home. Arrangements are then made usually by the relatives of the prospective resident moving into the home, to visit the home and look round. This was confirmed through discussions held with residents. The Statement of Purpose and the Service User Guide is to be updated to reflect what the service is able to provide when meeting peoples needs. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 10 Pre-admission assessments are in place and held on resident’s individual files. The Registered Manager or one of the Unit Managers carries out all assessments prior to anyone being admitted into the home. The assessment looks at the physical, emotional and social needs of the person. However the initial assessment for one resident who had been recently admitted into the home, had not been completed. A care needs assessment from local authorities was also in place where necessary. Six residents files were looked at but only four in detail. All files held initial assessments, care plans and risk assessments. Three contracts or terms and conditions of residency were also seen. All had been agreed and signed by either the resident or their relative or representative. The home does not provide intermediate care. Meadowbeck Care Home DS0000069340.V335860.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. The care provided to people was good, although not all identified needs are translated into individual plans of care. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who use this service appeared well cared for and some made comments about the care they received. One person said, “Everyone is very pleasant and kind ” and another said, “Staff are kind and respectful” and another said, “Staff are very good, they made me feel welcome and look after me well”. The case records of six residents were looked at which suggested that not all identified needs are recognised in the care planning process. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 12 There is no consistent approach in the way residents care plans and other records are recorded. For example one resident who had lived at the home for about a month had not yet had their initial assessment completed. Whilst care plans did record details such as continuing health care needs, risk assessments and daily records, they were not always detailed enough and did not give an overall picture of how the staff meet residents’ personal and health care needs. For example one resident had good records describing how pressure sores were to be treated. There was a wound assessment record in place, to show how effective the treatments were, however this had never been filled in. Another person who required a good fluid intake, to prevent a potential infection, did not have this need emphasised in their plan of care. They had no cold drinks in their room to enable staff easily to assist with this. This shortfall was discussed with the registered manager who agreed that some care plans needed to be more comprehensive. All four care records that were looked at in detail, had risk assessments some of which had not been completed. The medication system and facilities were inspected. Proper procedures were in place for the administration and storage of medication and a random check of medication supplies tallied with records. The medication administration records were up to date. Some boxed tablets were counted each week to check that the amounts tallied with the expected number, some however were not counted. There were four tablets in one container when the records suggested there should only be two. This was discussed with the manager. Currently there are no residents who look after their own medication. The cupboard holding dressings on the first floor does not lock. This needs addressing to make sure that only authorised people can access the store. There was evidence in the records of input from other healthcare professionals like the doctor, dietician and psychiatrist. A physiotherapist works at the home for three hours each week. As well as seeing residents they also work with staff to make sure that individuals receive the right kind of support. They also lead a weekly exercise class for the residents. The home has a call bell system and residents confirmed that call bell requests were attended to quickly. This was also confirmed as being the case on the day of the site visit. Residents who required assistance from care staff were observed to be treated with respect. There is a public phone on the first floor, and cordless telephones have been provided on both floors for residents to use. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. Daily routines enable residents to have control over their lives. The home continues to provide a varied and stimulating lifestyle and meals provided are to a high standard. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home employs an activity organiser who has worked at the home for a number of years. Records are kept of activities and there is a weekly programme displayed in the main entrance of the home. Various activities such as quizzes, bingo, skittles and exercise classes take place regularly. On the morning of the site visit the activity organiser had taken a resident out shopping to the local shops in the area. The home has a mini bus for outings. Entertainers regularly perform at the home. The hairdresser visits the home regularly. The local vicar visits monthly and the minister and priest visit when requested. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 14 Each resident spoken to confirmed that they could get up in a morning and go to bed whenever they wished and arrangements seemed flexible around routines such as bathing. However one person explained that they had a specific bath day and did not think that this could be changed. The head chef who has worked at the home for several years remains very enthusiastic about the food that is provided for residents. There was discussion that the home is considering an “A la carte” menu, which would be beneficial for residents. The chef said that the home uses all fresh produce daily and that all cakes are baked on the premises. The current menus are on a three weekly cycle. Menus that were seen reflected good balanced meals daily. Residents confirmed that they are able to have choices; even at breakfast time there is always a cooked breakfast available and at tea time there is always a hot dish as well as the cold dishes. The chef also said that he was looking towards introducing healthy eating. Special diets such as diabetics, puree and soft foods are all catered for. Residents said that the food at the home was good. One resident said, “Food is very good” another said, “The variation of food is very good”. In some parts of the home there was evidence that residents are provided regularly with cold drinks. However other areas did not seem to have that facility. One person said they filled their water glass up each day from the sink in their room. The Environmental Health Officer had visited the home on the 22nd February 2006 and their recommendations have been addressed. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good outcome in this area. Service users have access to an effective complaints procedure and are protected from harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Meadowbeck has a comprehensive complaints procedure in place. This was displayed on the wall in the main entrance of the home. The complaints procedure is summarised within the service user guide and in the resident’s terms and conditions of residency. Although the home does maintain a complaints log of any complaints they receive, they do not record the details of the action the home has taken and the outcome to any complaint made. The complaints log should include the nature of the complaint, any investigation carried out and the outcome to the complaint. This was discussed with the registered manager who agreed that this would be done. Neither the home nor the Commission For Social Care Inspection has received any complaints since the service was re-registered. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 16 Residents who use the service said that they were aware of how to raise any concerns. They said they would approach the manager or one of the staff and they were confident that they would put things right. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. All staff receive training in adult protection issues during induction and further training is arranged by the organisation. Discussions held with staff showed they were clear of the home’s procedure and what action they would take if a resident disclosed any form of abuse. The recruitment procedure continues to be robust, and ensures that only suitable people are employed, which helps to safeguard residents from abuse. . Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. People live in a safe, clean and comfortable environment that is furnished to a good standard and suitable for their needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has a drive and adjoining car park to the front and side of the property. There is a large patio/garden area to the rear of the home with patio furniture for residents to sit out. Resident’s accommodation is over two floors, which can be accessed by a passenger lift or staircase. There is level access to the home. This meant that any resident who had difficulty with mobility or uses a wheelchair has access to Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 18 all parts of the home. All bedrooms are single with en-suite toilets. There are six bathrooms and one shower room. Although the residents’ rooms and communal areas are well maintained the bathrooms are in need of refurbishment. On the ground floor, bathroom 2 has a hole in the door where a door handle or lock has been removed and this has not been repaired. This does not maintain resident’s privacy and dignity. The manager agreed and said the door is to be repaired and the bathrooms have already been put onto the rolling programme of work that has been identified as needing attention. On the day of the site visit the home was warm, bright, clean and comfortable. There were no offensive odours in any areas of the home. All areas seen in the home including communal areas and some residents’ rooms were all furnished to a good standard. Bedrooms and communal areas were clean and generally tidy and furniture and fittings were well maintained. Resident’s are able to choose where they sat during the day either in the lounge area or their own rooms if they so wished. Five residents were able to show the inspectors their rooms, which had been personalised with their own belongings. However one person had a number of large boxes of equipment stacked on their bedroom floor. This could be a health and safety hazard as well as limiting their available floor space. Whilst in one area of the home, staff were observed using plastic gloves and aprons this protective clothing did not seem to be widely used throughout the home. Indeed one member of staff felt that there were sometimes insufficient gloves. Again alcohol gel hand wash also seemed to be more readily available in some areas of the home than others. Protective clothing needs to be worn consistently throughout the home, according to the home’s policy, in order to protect people from the risk of infection. The cupboard, on the first floor, containing hazardous cleaning products was not securely locked and could have been accessed by unauthorised people, including residents. This was sorted out immediately. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. Staffing levels are sufficient in meeting the assessed needs of people who use the service. People are protected by the home’s rigorous recruitment procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The duty rota showed that there is usually 3 trained staff and 10 carers on duty each morning, 2 trained staff and 8 carers on an evening and 2 trained staff and 3 carers on a night. This does not include management or ancillary hours. Residents said that they felt that their care needs were being met and that staff is easily accessible. The home had a call bell system and resident’s said that the call bell requests were always attended to quickly. Residents spoke highly of the care they receive and made comments such as “Everyone is very pleasant and kind, and look after me very well” “They are all so nice here” “The staff are always happy- they treat you like a human being.” “I can have a laugh with the nurses ” “Staff are very good, they made me feel welcome and looked after me well”. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 20 Staff were seen using aids for residents gently and skilfully. None though were seen sitting and talking with residents. The staff records of four staff including a recently appointed member of staff were looked at. All records showed completed application forms, two written references, CRB (Criminal Records Bureau) checks had been obtained. A POVA (Protection of Vulnerable Adults) first check had also been carried out when a person started work before the CRB was available. This was to make sure the person was not barred from working with vulnerable adults because of a previous offence. All new staff are given an Induction programme to follow when first starting work. This aids their learning and understanding of the work they do and ensures that there is a consistent approach for residents who receive care. 55 of carers have achieved a National Vocational Qualification in Care. This means that there are more staff on duty at any one time, who have had relevant training in the work that they do. Residents are more likely to be cared for by staff, who are more knowledgeable, and can provide safe, consistent care. Training such as, First Aid, Fire, Manual Handling, health and Safety, Food Health and Hygiene and Protection of Vulnerable Adults are just some of the training completed by staff. The home has a training matrix in place for staff. This identifies what training staff have completed and what training they may need in the future. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. Residents and staff benefit from the ethos and leadership of the management team who safeguard service users interests and ensure their safety. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered Manager is an experienced nurse who has completed the Registered Manager’s Award. In discussions with the manager it was clear that she had a good understanding of her client group. Most residents spoken with knew the manager by name and said that they would speak to her if they had any concerns. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 22 Information provided from the pre-inspection questionnaire and the examination of selected health and safety documents show that regular checks to gas and fire safety equipment are regularly undertaken. An accident book is maintained in line with the requirements of Data Protection. In discussions held with the homes administrator the home is not an appointee for any resident. The home does not hold any monies on behalf of residents. The home does hold a cash float, which is used for one resident who is invoiced monthly. All receipts are retained. Historical evidence from previous reports gives evidence that resident’s financial interests are safeguarded. Some staff have received supervision and records were seen. This needs to be further developed so that all staff receive regular supervision every two months. Staff meetings are held, the last one in February 2007. The home has quality monitoring systems in place. The last surveys completed by residents were in January 2007. The home received 17 of surveys back. This was discussed with the registered manager who said that she was looking at ways of making improvements, so that people are encouraged to contribute towards the running of the home. The regional operations director carries out regular visits to the home each month. Reports of these visits, which assess how the home is running, are sent to the Commission. Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 X 2 Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 24 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 OP3 Regulation 14(1) Requirement Records of all pre-admission assessments carried out must be completed fully so that all care staff understand how they are to meet a new resident’s needs. The registered provider must ensure that all residents care plans are specific in detail so that staff are able to meet peoples’ care needs. The registered provider must make sure that all medication is accounted for when weekly audits are carried out, so that they can demonstrate that residents are receiving their tablets according to their prescription. The registered provider must make sure that care staff receive formal supervision at least 6 times a year. The registered provider must make sure that cupboards containing hazardous materials DS0000069340.V335860.R01.S.doc Timescale for action 07/06/07 2. OP7 15(1) 07/08/07 3. OP9 13 (2) 07/08/07 4. OP36 18(2) 07/08/07 5. OP38 13(4) (a) (c) 07/06/07 Meadowbeck Care Home Version 5.2 Page 25 are kept securely locked, when not being accessed in order to protect residents from potential harm. 6. OP38 13(4) (a) (c) The registered provider must make sure that bedrooms are not used for storing large boxed items of clinical equipment so resident’s health and safety is protected. 07/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP9 Good Practice Recommendations It would be good practice for all non-blister packed tablets to be counted weekly. Residents in all areas of the home should have cold drinks available at all times. Repairs to the door in bathroom 2 need to be carried out. OP15 OP19 Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Meadowbeck Care Home DS0000069340.V335860.R01.S.doc Version 5.2 Page 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. 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