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Inspection on 03/08/06 for Meadows Sands Care Home

Also see our care home review for Meadows Sands Care Home for more information

This inspection was carried out on 3rd August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Residents are cared for in a clean, comfortable and homely environment by staff who are aware of their needs. People who live at the home said that they were happy with the care they receive and liked the staff who cared for them. The home offers a varied menu, which can be eaten in the main dining room or in resident`s bedrooms. Comments included: `the food is excellent` and `we get lovely food`.

What has improved since the last inspection?

Mrs Marina Prescott was employed as the acting manager in early July and improvements to documentation are already evident. Mrs Prescott has many years experience in care and has previously managed a care home. Since the last inspection the home has improved the way it assesses residents before they come to live at the home, this helps to make sure that staff can care for residents correctly. The care planning documentation, which tells staff how people need to be cared for, has improved but further development is needed to provide staff with a clearer picture of people`s individual needs, capabilities and preferences. Various training has taken place, or sessions are planned for the near future, this will help to ensure that staff have essential skills and knowledge to meet the needs of people living at the home. The owners have been visiting the home regularly to monitor its progress, as part of these visits they have completed a monthly report that reflects the current issues at the home and how these are being addressed.

What the care home could do better:

Although each resident has a care plan these need to be improved. They need to show that any potential risks such as manual handling and nutrition have been assessed and guidance provided to staff on how to manage any problem areas. Plans also need to detail residents capabilities and preferences so that new staff are aware of the level of support needed and how people like to be cared for. The new manager is currently looking at ways to ensure that all residents have access to appropriate social stimulation, but this is yet to be to be formalised. It is important that people`s interests are documented and a suitable programme of activities formulated to meet their needs. The home has improved the training provided to staff but further essential training in areas such as the administration of medications, health and safety and manual handling are needed for some staff. Further training has been arranged so the manager needs to make sure that staff that need this training attend. Staff also need to receive regular appraisals and supervision sessions so that their performance can be evaluated and they can identify any areas that they need to develop. Although residents said that they were happy with the standard of care provided the home needs to introduce a system to evaluate the quality of the service it provides. This needs to include obtaining the views of the people who live at the home, and their relatives if appropriate. It could also include any other outside agencies who visit the home. A recommendation was made regarding the availability of a lockable facility, such as a cupboard or drawer in resident`s bedrooms so that they can keep any valuables and/or medications securely.

CARE HOMES FOR OLDER PEOPLE Meadows Sands Care Home 98 South Parade Skegness Lincs PE25 3HR Lead Inspector Dawn Podmore Unannounced Inspection 3rd August 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Meadows Sands Care Home DS0000002552.V306577.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. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadows Sands Care Home Address 98 South Parade Skegness Lincs PE25 3HR 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) 01754 762712 Accredited Care Limited Care Home 26 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (26) of places Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (26) Dementia - over 65 years of age (DE[E]) (26) The maximum number of service users to be accommodated is 26. 2. Date of last inspection 5th April 2006 Brief Description of the Service: Meadow Sands Care Home is situated on the sea front at the Southern end of Skegness. There are public car parking facilities to the front of the home and three car park spaces to the rear of the home for staff. The home has no garden but seating is available at the front of the building and there is a park across the road. The bedrooms are situated on three floors accessible by stairs or a passenger lift. There are communal lounges and dining facilities on the ground floor. The home does not have a Registered Manager but an acting manager has been in post since July 2006. At the time of the inspection the home confirmed that the weekly fees ranged from £335 - £415 depending on the residents assessed needs. Additional charges are made for services such as chiropody, hairdressing and toiletries. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, can be found in the reception area or from the home’s office. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second key inspection in 2006. It was unannounced and took any previous information held by C.S.C.I. about the home into consideration. The inspection included a site visit, which took place over six and a half hours. The main method of inspection used was called case tracking. This involves selecting a proportion of residents and tracking the care they receive through the checking of records, discussion with them, the care staff, and observation of care practices. A partial tour of the premises was conducted and documentation examined. Residents, a relative and staff, including the acting manager were interviewed either formally or informally. The proprietors were also present for part of the visit. On the day of the visit 16 people were living at the home. What the service does well: What has improved since the last inspection? Mrs Marina Prescott was employed as the acting manager in early July and improvements to documentation are already evident. Mrs Prescott has many years experience in care and has previously managed a care home. Since the last inspection the home has improved the way it assesses residents before they come to live at the home, this helps to make sure that staff can care for residents correctly. The care planning documentation, which tells staff how people need to be cared for, has improved but further development is needed to provide staff with a clearer picture of people’s individual needs, capabilities and preferences. Various training has taken place, or sessions are planned for the near future, this will help to ensure that staff have essential skills and knowledge to meet the needs of people living at the home. The owners have been visiting the home regularly to monitor its progress, as part of these visits they have completed a monthly report that reflects the current issues at the home and how these are being addressed. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a new assessment process in place to ensure that it can meet the needs of the people admitted to the home. EVIDENCE: The home has an admission policy and procedure, which includes assessing residents prior to admission to make sure that they can meet their needs. At the last inspection the correct procedure had not being followed, but records and peoples comments during this visit confirmed that new residents had received an assessment before they came to live at the home. Other information, such as social service assessments, had also been collated to help the manager decide if the home would be able to care for the resident appropriately. The manager confirmed that the home is not providing intermediate care. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements have been made but shortfalls in existing care plans and risk assessments put residents and staff at risk and could lead to residents needs not being met. Residents’ health needs are being met. Medications are stored, administrated and disposed of safely. However, the training level is inadequate for staff. Staff respect the wishes and preferences of people living at the home while maintaining their privacy and dignity. EVIDENCE: Each resident had an individual plan, which contained information relating to his or her care needs. The acting manager is currently reviewing and rewriting care plans to ensure that they contain all the necessary information. Five of the 14 residents currently at the home have had their care plans reviewed. The detail provided was much clearer so that staff could easily see what support people needed, but these would benefit from more detail regarding their preferences and capabilities. The plan for a recently admitted resident outlined their care needs but did not contain evidence of a manual handling assessment taking place. Files did not Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 10 all contain assessments for nutritional and pressure risks but details of these needs were identified in the planned care. Plans had been reviewed regularly, and updated, to ensure that they contained current information and guidance. Records and peoples comments showed that outside agencies such as district nurses, doctors and chiropodists visited the home regularly to meet people’s health care needs. The medication procedure has been reviewed by the acting manager and now contains all the required information to instruct and guide staff in the safe handling of medications. New forms have also been introduced so that a clearer audit trail is available to show what medications have been received, administered and returned by the home. Records showed that although some guidance had been provided on the systems in place further training was needed. The manager confirmed that she had arranged for the chemist to provide some training and a more comprehensive package was being sourced. There are no residents currently administering their own medications. Residents and a visitor praised the staff, and comments indicated that they were satisfied with the care and accommodation provided. Observation and discussions with staff demonstrated that staff respected people’s privacy and dignity; they were seen knocking on resident’s bedroom doors, consulting them about their preferences at lunchtime and closing doors when providing personal care. The providers are addressing a recent complaint made to social services regarding the curtained toilets on the corridor leading to the office. They have consulted a builder to see if the area can be changed to provide a larger disabled toilet that will allow easy access for people in wheelchairs and those who need to transfer using a hoist. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not provide an appropriate programme of activities. Residents’ are offered choice regarding their daily lives. Meals provided offer variety and choice. EVIDENCE: The home does not currently employ an activities coordinator; therefore care staff provides any social stimulation at the home. The acting manager is currently reviewing the activities provided and looking at how time can be allocated to make sure people are able to receive appropriate social activities. Records and peoples comments did not demonstrate that residents were receiving suitable stimulation. Until clear documentation is available it is not possible to evaluate fully if residents needs are being met. Some residents commented that there was not much to do during the day, except watch television, while one said that she was happy to spend time in her room. Staff said that the every Wednesday residents joined in a musical movement session, which they seemed to enjoy. They also said that other activities took place such as dominoes and sing a longs. Not all care plans addressed the social needs of residents in sufficient detail especially in relation to people who have a communication problem or dementia. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 12 A relative said that in all the time he had been visiting the home he had always been made to feel welcome by the staff. He said ‘they always offer me a cup of tea and are very friendly’. Residents confirmed that their friends and families visited when they wanted to and were always made welcome by staff. Residents and staff gave examples of how choice was offered at the home, this included: times for getting up and going to bed, meals provided and how they spent their day. Lunch on the day of the visit was well presented and nutritionally balanced. The cook said that alternatives to the set menu were available. One resident said that he had ‘gone off meat’ and so the chef had prepared him ‘a veggie burger’. Meals can be taken in the dining room or in the privacy of the residents’ bedroom. Aids to help people eat their food independently, such as plate guards, were being used. Residents’ comments included: ‘the food is excellent’, ‘I’m very happy with the meals I get’ and ‘on my birthday they made me my favourite food, garlic bread, and I had a lovely cake’. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has satisfactory procedures for handling complaints. Residents are protected by the home’s procedures for handling allegations of adult abuse. EVIDENCE: The home has a complaints procedure, which tells residents and relatives how to make a complaint and how it will be handled. A copy is given to each resident on admission and forms part of the Service Users Guide, which is available in every bedroom. Residents’ spoken to, and a relative, made positive comments about the home. Five questionnaires returned to the commission in April this year indicated that people were happy at the home and were confident that any concerns would be addressed quickly. The home has an adult protection policy to tell staff about the procedure to follow if they have any concerns. Training records showed that staff had attended a protection of vulnerable adults training session in July; staff comments confirmed this. The course content included recognising the types of abuse that may occur and how concerns should be reported. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at the home live in a clean, comfortable and homely environment. EVIDENCE: Communal areas have a homely atmosphere and were clean and tidy. The three bedrooms seen during this visit were well maintained and furnished, including personal mementoes and small items of furniture. Residents and a relative said that they were happy with the facilities the home provided. Comments included: ‘it’s a lovely room’ and ‘my mother asked to be moved nearer her friend, which they did, but she still has her sea view, which she loves’’. New bedding has recently been purchased, along with bathroom cabinets for residents to store their toiletries in. The providers outlined their plans for the home, which included remodelling the downstairs toilets and the laundry facilities. They also plan to renew the corridor and stair carpet at the rear of Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 15 the home. Garden furniture has been purchased so that residents can sit outside in nice weather. A ramp is provided at the front of the building so that people in wheelchairs can easily access the front of the home. A lift and ramps are also provided in the home but there are some areas upstairs where a few steps have to be climbed to access bedrooms. The programme to cover radiators to protect residents from possible harm is well underway with further radiator covers fitted since the last inspection. Locks are not routinely fitted to resident’s bedroom doors but the home has consulted with people to evaluate who would like one. Locks have been purchased for those residents who wish to have a lock on their private accommodation and these are to be fitted shortly. The home does not provide a lockable facility in every bedroom so that residents can safely keep valuables, and where appropriate medication. People spoken to said that they either had a lockable cupboard or did not want one. The acting manager said that if anyone requested or needed one it would be arranged. The providers confirmed that they were planning to renew some of the bedroom furniture and that any shortfalls would be addressed at that time. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are on duty in sufficient numbers and skill mix to ensure that the residents are cared for in a safe, caring and competent manner. Procedures for the recruitment of staff are robust and therefore offer protection for people living at the home. The shortfalls in staff training could lead to residents’ needs not being met. EVIDENCE: The manager is extra to the staffing numbers, but does cover staff shortfalls if required. The deputy or a senior carer is on duty throughout the day to aid the smooth running of the home. On the day of the visit 3 care staff were on duty in the morning and 2 in the afternoon, this was to care for the 14 residents currently living at the home. Residents commented: ‘the staff are brilliant’, ‘there used to be some staff that didn’t talk to you properly but they have gone now so it’s better’, ‘they are very friendly and have a joke with you’. Staff said that there was enough staff on duty to care for people but not to take them out or do many activities. The acting manager said that time was to be allocated at the end of the morning shift, so that residents could go out if they wished to and in the afternoon to do activities. The home has a satisfactory recruitment procedure. Files contained application forms, 2 satisfactory written references and C.R.B. (Criminal Records Bureau) Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 17 checks. Staff interviewed said that they had received an induction to the home when they start, which included shadowing an experience member of the team and records confirmed this. A new induction programme has been introduced to complement the existing form, this should ensure that new staff receive all the essential information they need to carry out their job. The home has provided various training sessions since the last inspection including manual handling, basic food hygiene and protection of vulnerable adults. Staff records and comments demonstrated that not all staff had attended essential training. Letters available in the training file showed that sessions had been booked for the near future with further sessions planned. These included dementia awareness, medications, and manual handling. The new manager had addressed the recommendation made at the last inspection regarding summarising who had, and had not attended essential training. This information clearly identified any shortfalls and she said that she was using it to formulate a training plan for the current year. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is not registered but has made significant improvements. The home does not have a formal system in place to gain peoples views about the service it provides. The home handles resident’s finances appropriately. Shortfalls in staff appraisal and supervision could lead to residents’ needs not being met. The home has health and safety policies and procedures, which help to safeguard staff and residents. EVIDENCE: Mrs Marina Prescott has been the acting manager since July 2006, and intends to apply for registration in the near future. She is an experienced manager who has recently been managing a care home elsewhere in Lincolnshire. Mrs Prescott has completed the Registered Managers Award to enhance her management skills but is waiting for it to be verified. Residents, visitors and Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 19 staff said that she was supportive and approachable and felt confident to take any concerns to her. The home does not have a formal system in place to gain the views of people who live at the home. Residents/relatives meetings had not been held and there was no documentation to show that they had been consulted about the day-to-day operation of the home. The acting manager said that she had spoken to people but this was not documented. Residents knew the manager by name and said that they had spoken to her on occasions. It is important that a formal system is introduced so that people can share their views with the proprietors of the home so that they can assess the quality of service being provided. The office administrator is responsible for the safe keeping of residents’ personal monies. As recommended at the last inspection the acting manager has ensured that two people sign all transactions to provide added security. Residents do not have access to personal monies at a weekend or evening and the provider needs to assess this situation and ensure that people are aware of arrangements in place. Although the previous manager had introduced a staff supervision system records showed that only one session had been held over an 18 month period. It is important that these sessions take place so that staff receive support, and their training and development needs can be assessed. Staff confirmed that supervision had not taken place on a regular basis. The proprietor has visited the home regularly and completed a monthly report detailing his findings at the home. The reports demonstrate that the management team were monitoring the issues identified at the last inspection and addressing areas needing attention. New freezers have been purchased following the recommendation made at the last Environmental Health Officer inspection. There are a range of policies and procedures regarding health and safety available to guide and instruct staff. There is also a programme in place to service and maintain the equipment in the home on a regular basis. Information provided to the commission prior to the inspection, and sampling of documentation during the visit, demonstrated that checks on equipment such as the gas installation and fire equipment had taken place. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X 3 2 X 3 Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) & (2) 13 (4) Requirement Care plans must be in sufficient detail to enable care staff to provide comprehensive care. This must include risk assessments and management strategies as well as residents preferences. The previous timescales were not fully met. The home must consult with service users then formulate and implement an appropriate social activities programme. The previous timescales were not met. All staff must attend mandatory and specialist training to meet the needs of the residents living at the home This must include manual handling, health and safety and if appropriate safe handling of medications. The previous timescales were not fully met. All staff must receive regular appraisal and supervision as required. The previous timescales were not met. DS0000002552.V306577.R01.S.doc Timescale for action 01/10/06 2. OP12 16 (2) (m) 01/10/06 3. OP30 18 (1) 01/11/06 4. OP36 18 (1) (a) 2 01/10/06 Meadows Sands Care Home Version 5.2 Page 22 5. OP33 24 There must be a quality assurance system in place to gain to views of the people who use the service. 01/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP24 Good Practice Recommendations It is strongly recommended that the programme for supplying a lockable facility for the storage of personal possessions, and where appropriate medications, be completed with the purchase of new furniture or as and when needed by a resident. Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Meadows Sands Care Home DS0000002552.V306577.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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