Inspection on 15/05/06 for Meadowside

This inspection was carried out on 15th May 2006.

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

Other inspections for this house

Meadowside 27/07/07

Meadowside 24/10/05

Meadowside 04/05/05

Meadowside 31/08/04

Meadowside 05/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Meadowside Meadowside Knowle Park Avenue Staines Middlesex TW18 1AN Lead Inspector Damian Griffiths Key Unannounced Inspection 15th May 2006 10:00 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 Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 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. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadowside Address Meadowside Knowle Park Avenue Staines Middlesex TW18 1AN 01784 455097 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) samantha.taylor@anchor.org.uk sharon.blackwell@anchor.org Anchor Trust Ms Samantha Jayne Taylor Care Home 51 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (51), of places Physical disability over 65 years of age (12) Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age/age range of the persons to be accommodated will be: 65 YEARS AND OVER Of the 51 service users accommodated within the home, up to 20 may fall within the category DE(E). Of the 51 service users accommodated within the home, up to 12 may fall within the category PD(E). 24th October 2005 Date of last inspection Brief Description of the Service: Meadowside is one of many homes managed by the ‘Anchor Trust’ . The Home is Registered as a care home for older people with physical disabilities and dementia over the age of sixty-five years-of age. Meadowside is registered for a maximum of fifty-one residents. The accommodation comprises fifty-one single rooms divided into seven units: each unit has its own lounge/dining room and kitchenette area. The accommodation is situated over two floors with a lift providing access to the upper floor. The home is situated in a residential area close to shops and Staines town centre and set in its own grounds with parking space at the front of the building. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection of the Commission for Social Care Inspection (CSCI) year April 2006 to April 2007 using the new ‘Inspecting for Better Lives’ (IBL) process. Lead Regulation Inspector Damian Griffiths was assisted throughout the inspection by the Deputy Manager Mrs Linda Plumb representing the establishment. The IBL process involves a pre-inspection assessment of service information from a variety of sources initially helping to prioritise the order of inspections and identify areas that require more attention during the inspection process. A new ‘Inspection record’ is compiled from details of the previous inspection and other details supplied by the home that include a pre-inspection questionnaire and notifications of significant events known as regulation 37. Comments and complaints received and previous inspection reports are all considered for inclusion to the Inspection record prior to the inspection visit. For more details of ‘IBL’ please visit the Commission for Social Care Website details can be found on the last page this Inspection report. The inspector was with staff and residents at Meadowside for a period of 8hrs. This time was spent sampling resident’s care need assessments, care plans, contracts and talking to residents and staff. Staff files were inspected for evidence of good practice in the following areas: recruitment, allocation of staff skills, daily rotas and training. A tour of the premises was completed and friends and relatives were also able to contribute to the inspection report. The inspector would like to extend thanks to the residents staff and management at Meadowside for their assistance and hospitality. What the service does well: Meadowside provides residents with a homely clean and pleasant environment where the staff were friendly, helpful and polite. Residents enjoyed a daily selection of healthy and nutritious meals. The home has pleasant, secure gardens and is well situated for access to the town centre. The Activities provided for residents were varied and enjoyed by residents. The home aimed to provide good facilities for residents and staff consulted were committed to increasing their ability and knowledge of care issues. The home was committed to the continued professional development of all staff to attain NVQ level 2. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: The latest inspection report must be available for residents and their representatives for their information. Risk assessments must be regularly reviewed and changed when needed, in order to ensure their needs are met. Proper provision is made for the health and welfare of residents and to take account of their wishes and feelings regarding funeral arrangements. Arrangements must be made to protect residents from abuse and to inform the Commission of actions taken. NVQ Level 2 must be attained by 50 of all staff The gardens are properly maintained and made safe for residents to gain full access by assuring that clearing of leaves from paths, lawns mowed and weeding and planting of borders/baskets and containers is completed. The correct filing of residents information must be maintained by ensuring that residents care plan folders and all folders containing resident information are renewed, records updated and archived. Suitable arrangement must be made to ensure that the spread of infection is prevented by the laundry and sluice areas are kept clean, tidy and hygienic. All unnecessary risks relating to health and safety are identified and so far as possible eliminated. It was recommended that access to a loop system is considered for residents. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 7 Observe good practice during adult protection investigations into vulnerable adult enquiries by making sure that all handwritten notes are typed and that a chronology of events are made. That all job applications include full details of employment history as according to the Anchor Homes own ten year requirements. A Storage cabinet is fitted in the kitchen for the books and folders currently used by the chef. 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. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 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 Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 3. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service New and existing residents and their representative’s did not have access to information that may help inform them about the home. Most residents had their contracts and had received a full assessment of their care needs thus ensuring residents and staff were aware of the care needs to be provided. EVIDENCE: It was not evident that the last inspection report was available to residents and staff. The inspection report of May 2005 was on display in the entrance foyer and staff and residents consulted had no knowledge of the last inspection report. Eight residents care plans and folders were sampled for details of contracts, assessments and for details to be transformed into a detailed plan of daily care to be provided by staff at the home. Two of the files sampled were for residents new or recently transferred to permanent residency at the home. The process of formulating a working care plan at the Anchor home is described as a Individual lifestyle Pack, ILP. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 10 With the exception of the two new full time residents all other contracts were available however the filing system of records including copies of the contracts was inconsistent and some files were without copies of the contract for ease of access. Each Residents file sampled had received a full needs assessment and these had been formulated into a care plan/ILA. A summary of assessed care needs had been completed to promote ease of use and better understanding for new and agency staff. New residents were still in the process of completing their ILA. Please see the requirements and recommendations section of this report. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, 10 and 11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Residents care plans were completed following assessment of care needs and health needs generally well supported although some files were in need of review. Residents received medication as prescribed and were treated with respect and dignity however more work was required within sensitive area’s of the care plan. EVIDENCE: Eight care plan folders were samples and each had details of residents care needs contracts, risk assessments and detailed health needs. Some residents care plans had been selected following the referral of accidents and incidents to the Commission for Social Care Inspection. Incidents of infection, falls or aggressive behaviour must trigger a review of the risk to the resident and staff. Not all care plans contained an updated assessment of these risks: e.g., one resident had continued to suffer from infections and had been implicated in other incidents but had not had a sufficient risk assessment review. Helpful ‘summaries’ of assessed needs were available to assist new and agency staff but not all had been updated as required. The care plan recording process is currently under review. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 12 Similarly a selection of residents who had been the recipients of maladministration of prescribed medication were selected for sampling. Medical Administration Records were sampled and showed that the correct prescribed medication had been given and signed by a trained staff member. Drug returns were correctly recorded and controlled drugs were separately recorded and securely stored, however the cabinet did have additional safety features that were not in use. Residents and friends consulted confirmed that they were treated with respect staff called them by the name of their choice and would ‘do their best’ Staff were observed knocking on residents doors before entering and this was confirmed by residents. Residents confirmed that privacy was available when needed and did not report any problematic issues occurring. Families’ and friends of the residents are all encouraged to help to complete the ILA’s. Resident’s choices of funeral arrangements were still proving to be difficult to complete by staff and relatives of the residents. Staff will be attending training course to address this extremely sensitive issue. Please see the requirements and recommendations section of this report. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents enjoyed a choice of activity and regular visits from family and friends were encouraged by the home. Residents had a choice of wholesome and nutritious food however proposed changes at the home had not been discussed. EVIDENCE: Residents consulted enjoyed the activities on offer that were advertised on each unit’s notice board and contained a newsletter. Photos of events and trips were on display. Residents with dementia needs were being catered for by the extensive use of pictorial accounts of activities by use of photographs digitally produced. The part time activities co-ordinator fashions the activities to be inclusive the assorted care needs of the residents at the home using equipment that will promote residents abilities such as, strips of rubber sheet for exercise purposes that can be grasped in the hand of a resident with osteoporosis and will lessen the risk to fragile bones. Family and friends were welcomed by staff and could visit at any time. Friends and residents confirmed this and are encouraged to help to contribute to the residents the ILA’s. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 14 Residents were given a daily choice of meal and could chose from a varied menu or request something different however residents had not been consulted about proposals to adapt parts of the home exclusively for dementia care. The food at the home included fresh fruit and vegetables and the chef had submitted details for consideration for the ‘Young at Heart’ award sponsored by the local council. Please see the requirements and recommendations section of this report. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service The complaints system was being used and provided a robust system for people to use however vulnerable adult procedures continue to be difficult for the home to record and conclude however the safeguarding of residents remained paramount. EVIDENCE: The home had managed ten of complaints since the last inspection and concluded that the majority, nine, had been substantiated. The complaint policy and procedures were available for staff and resident to access and can be found in the Statement of Purpose and the ‘Residents Information Pack’. All complaints had been responded to within the 28 days. Residents consulted were not all aware or able to access complaints procedures especially those residents with some form of memory impairment, however, other residents were confident that the could talk to the manager if necessary. Staff consulted were aware of protecting vulnerable adult procedures and the Whistle-blowing policy. The Surrey procedures for the safeguarding of vulnerable adults was in place and had been used on two occasion over the last 12 months. There were no details available on the day of the inspection. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 16 Please see the requirements and recommendations section of this report. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,22 and 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service The home provides a homely and warm environment for residents however it was in need of investment for overall redecoration and attention to gardens. EVIDENCE: A tour of the premises was conducted and revealed a comfortable and homely environment that was generally clean, tidy and without unpleasant odours. Each unit was in need of decoration however due to the every day wear and tear. Gardens were in need of seasonal attention and resident consulted enjoyed walks in garden when accessible. The home had successfully completed the new lift, which was in full use and is due for a boiler replacement next month. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 18 Residents enjoyed watching the television and had varies levels of hearing impairment however the home was without any loop system and residents complained of not being able to see or hear the TV properly. The kitchen was efficiently run but would benefit from storage cupboard for the chef to store her information folders. Other areas for attention could be found in the laundry area of the Willow unit and the sluice cupboard containing soiled commode pots and toilet bowls were in need of limescale removal. Please see the requirements and recommendations section of this report. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff skills were adequate to ensure that the health and welfare of the residents were met however NVQ level 2 was in need of reaching the required levels and more knowledge of the issues around dementia care was identified by staff consulted. The recruitment procedure was robustly observed however it was recommended that more attention be paid to the homes own procures regarding employment history. EVIDENCE: Five staff files were sampled to assert that the skills required to meet the needs of the service users were being matched by the staff on duty at the time of the inspection. They had received training in areas that would meet the assessed needs of the residents. This included the following; Moving and handling, Food hygiene, Health and safety, Fire safety, safe medication administration, First aid, Safeguarding of vulnerable adults and dementia awareness. Staff consulted confirmed that they would benefit from more training in dementia care, which is to be provided in the future, as well as training in areas of palliative care and better provision for ‘end of life’ issues. 50 of staff are required to of reached NVQ level 2 by the end of 2005. Staff at Meadowside were still in need of attaining this level of qualification. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 20 Staff files contain all the necessary documents required to establish the good character of the person and included copies of photo ID from passports, Birth certificates, two references and employment history for the last ten years. One file did not contain the full service history required by Anchor care Homes ,it was recommended that the new staff member complete her application. Please see the requirements and recommendations section of this report. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 ,36,37 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service The overall management style was agreeable to residents and staff at Meadowside, resident’s finances were well documented and the health and safety safeguarded. Records kept at the home were in need of improvement and a Quality assurance monitoring exercise was required. EVIDENCE: Staff and residents were satisfied with the management style and open door policy available at the home. The deputy manager was cooperative and helpful and had a good working knowledge of the residents needs and the operational necessities demanded to run a modern care home. The Anchor Trust is considering to implement changes at Meadowside that will require three of the existing units to become dementia care centres. Evidence Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 22 was available to show that staff had discussed this at a recent meeting but there was no such evidence to show that residents had had the same opportunity. Resident consulted confirmed that they had not been approached about this matter. Staff had complete a recent quality assurance exercise on behalf of the Anchor Trust however the results were still to being compiled. Residents personal accounts were sampled and showed that the home requires two signatures to be recorded when cash is withdrawn. Receipts were in place for transactions and accounts for expenses such as hairdressing and newspapers. Bills for payment issued promptly residents made were satisfied with the system in place. Anchor uses a computer system to mange the accounts. The manager was receiving support and regular supervision. Care plan records kept were confusing and poorly filed. Residents care needs were recorded on a selection of formats and these were kept in three separate locations. 1.The daily diary sheets, health details were stored on each unit for staff access and for the practical application of recording and consultation. 2.Resident’s care plans,ILA, contract was stored in a folder in their own room. 3.Archiving of diary sheets/ health care appointments assessments and other documents from the care plan no longer required for daily information was kept in the office, to afford easy access and provide an overview of each residents needs and progress at the home. The documentation kept of the unit was difficult to access because it was contained in plastic covers that had to be taken out. Some files were worn and unsightly and the office records were misfiled, had not been replaced correctly and were generally poorly kept. The Deputy Manager confirmed that the care plan recording process was being reviewed and different care plan format was to be introduced. The pre-inspection report submitted by the manager shows that all areas requiring annual checks have been completed and Spelthorne Borough Council Environmental Health Officer awarded a category ‘C’ for Food hygiene. There were few health and safety concerns other than those mentioned earlier in this report due to poor hygiene in the sluicing cupboard and the laundry area. It was recommended that kitchen storage for books and folders be available in the kitchen area. Please see the requirements and recommendations section of this report. Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 23 Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 24 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 1 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X 2 X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 2 2 Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 25 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 OP1 Regulation 5 (1)(d) Requirement The registered manager must ensure that a copy of the last inspection report is available for residents and their representatives. The registered manager must ensure that all residents have a full documented care plan, including risk assessments that are regularly reviewed and changed when needed, in order to ensure their needs are met. The registered manager must promote and make proper provision for the health and welfare of residents and take account of their wishes and feelings regarding funeral arrangements. This was the second time this requirement has been made the timescale of 24/12/05 was not met therefore a new timescale has been agreed The registered manager must ensure that arrangements are made to protect residents from abuse and to inform the Commission of actions taken. DS0000013716.V294964.R01.S.doc Timescale for action 10/06/06 2. OP7 15(1)(2)( a)(d) 15/06/06 3. OP11 12(1)(a)( b) 15/06/06 4. OP18 13(6) 15/06/06 Meadowside Version 5.1 Page 26 This was the second time this requirement has been made the timescale of 24/12/05 was not met therefore a new timescale has been agreed. 5. OP19 13(c) The registered manager must ensure that the gardens are properly maintained and made safe for residents to gain full access by assuring that clearing of leaves from paths, lawns mowed and weeding and planting of borders/baskets and containers is completed. The manager must provide suitably qualified, competent and experienced staff are working at the care home in such numbers to ensure the health and welfare of residents is ensured. The registered manager must ensure that all records are accessible by promoting the correct filing of residents information in their own care plan folders, renewal of old, worn folders. The registered manager must ensure that quality assurance monitoring is completed and the results are circulated. A copy must be forwarded to the Inspector. This was the second time this requirement has been made the timescale of 24/12/05 was not met therefore a new timescale has been agreed. The registered manager must make suitable arrangements to prevent the spread of infection ensure that the laundry areas are clean, tidy and all sluice areas are hygienic. 15/06/06 6. OP28 18(1)(a) 15/06/06 7. OP32 17(3)(a) (b) 15/06/06 8. OP33 24(1)(a) (b) (2)(3) 15/06/06 9. OP36 18 (2) 15/06/06 Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP18 Good Practice Recommendations It was recommended as good practice to ensure that notes taken during adult protection vulnerable adult enquiries that are handwritten are typed and that a chronology of events are recorded. It was recommended that access to a loop system is considered for residents. It was recommended that the staff member complete her application by providing full details of her employment history for the last ten years according to the Anchor Homes policy. It was recommended that a storage cabinet be fitted for the books and folders currently used by the chef. 2. 3. OP22 OP29 4. OP38 Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Meadowside DS0000013716.V294964.R01.S.doc Version 5.1 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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