Inspection on 28/04/05 for Merrydale

This inspection was carried out on 28th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Merrydale 19/02/08

Merrydale 12/02/07

Merrydale 23/11/05

Merrydale 25/01/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Merrydale, Spencer Road Ryde Isle of Wight PO33 3AL Lead Inspector Lynda Mosling Unannounced 28th April 2005 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 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. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Merrydale Address Spencer Road, Ryde, Isle of Wight, PO33 3AL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 563017 Mr K Pryer Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25/1/2005 Brief Description of the Service: Merrydale is a care home registered for 16 residents over the age of 65 years. It is privately owned by Mr and Mrs Pryer who bought the home in August 2004. The home is situated in a quiet, private road in a residential area on the outskirts of Ryde. It is close to all amenities and within walking distance of the town centre. The home offers a day care facility for local people over the age of 65 years. The day care is situated in a purpose built extension to the property and has a separate entrance. Staff are allocated to the day care service in addition to the staff covering the care home. All activities provided to day care users are also available to the residents. The home is well maintained and has accessible gardens and outside seating areas. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken by one inspector over one day. The proprietors were on holiday and therefore not available during the inspection. The acting manager was present throughout. Five residents were spoken to individually and a group of day care service users were also spoken to. Five members of staff were interviewed separately. All of the communal areas of the home were seen as were three of the residents’ rooms. Lunch was observed and records examined. What the service does well: The service offered by Merrydale has traditionally been of a high standard. The environment is attractive and comfortable and all rooms are single. There is a waiting list of prospective residents and the home has a good reputation in the local area. Residents are generally mobile and able to make their wishes known. Residents say they are well cared for and receive the service they need and expect. Medical care needs are well met and the assessment of suitable residents ensures the home keeps within the registration categories. Visitors are encouraged and welcomed at any time. Meals are balanced and are of good quality. The main meal is seen as a social occasion preceded by alcoholic drinks, if desired. Residents are given choice and are treated with dignity. Many are able to go out into the community alone, or with friends/family. The day care facility operates 7 days a week and provides daily activities that residents are welcome to join. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 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 standard(s) 1,2 and 3. Prospective residents are given enough information to enable them to make a choice about whether they would like to live in the home, however it requires updating. Residents do not have clear contracts with the current owners. Appropriate assessment of residents needs is undertaken prior to a placement being offered to ensure the home can meet the needs of the resident. EVIDENCE: The statement of purpose has not been re-written since the change in ownership and is therefore out of date. This was in the process of being done at the point the registered manager resigned. It is intended that the newly appointed manager (due to start in approximately a month) will work on this. It is a requirement that the statement of purpose accurately reflects the service on offer. The residents have not been given new contracts by the current owners, but in discussion with residents they said they were aware of their responsibilities as residents, and knew how much they were being charged for their care. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 9 Written contracts should be agreed with each resident as soon as possible to ensure that there is a clear record of the fees to be paid and who is responsible for the fees. This is a requirement to meet the regulations. There have been no recent admissions to the home but a re-assessment of a resident currently in hospital had been undertaken. A copy of the assessment was seen on the resident’s file. It covered all the areas required to make a decision about whether the home can continue to meet the resident’s needs. Staff spoken to felt that the home is careful about the residents taken and they feel able to meet the needs of the current group of residents. Residents and staff spoke about the need to balance the needs of those residents whose health is deteriorating, with the skills of the staff and the needs of other residents. One resident commented ‘when they (other residents) get too confused it is not fair on us or the staff – I didn’t choose to be surrounded by people who do not know what they are doing’. The home appear to be getting this balance right by arranging assessments and taking appropriate action where necessary (see section below). Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7,8 and 9. There are clear plans setting out the needs of residents but these are not signed by the residents/representatives. Residents health care needs are well met and documented. The storage and administration of medicines is being improved and meets the needs of the residents. EVIDENCE: A sample of the care plans for four residents was seen. These are kept in an individual book for each resident and include the initial assessment information, the way care should be delivered and records of all visits by medical professionals. There was no evidence that the residents and/or representatives had seen or agreed to their care plans – this would strengthen the usefulness of the plans, however the residents spoken to all said that they felt their needs are being met and that they receive the service they request. One resident commented ‘it is my home and I get whatever I ask for’. A group of residents spoken to at lunch said ‘staff always put our needs first’. Staff spoken to said the last manager had introduced a new system to record care needs but that not all records had been transferred to the new system. It Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 11 is recommended that this is reviewed by the new manager to ensure clarity and consistency of records. Residents said that they are able to choose their own GP and contact them as necessary. Some choose to attend the local surgery, with a member of staff if they wish. One resident was being taken to her dentist by her son on the day of inspection. When GPs or DNs attend the home they see the resident in their own room and the resident can choose if a member of staff is present. A written record of all visits by medical professionals is kept on the resident’s file. These were seen during the inspection. There are currently no residents suffering from pressure sores but the staff demonstrated an understanding of the need to consider tissue viability and have bought ripple mattresses to prevent problems occurring. Residents are weighed on a regular basis and any fluctuations are monitored and reported to the GP. Discussion took place with residents and staff about the circumstances surrounding a resident who needed psychiatric assessment after displaying some challenging behaviour which had caused distress to residents and staff. Although there were some delays, the acting manager explained the way in which this was eventually handled. This demonstrated that advice had been taken and involvement of medical professionals had led to appropriate action being taken. Staff were clear that they would need to carefully re-assess their ability to manage the resident when/if they wish to return to the home. Residents spoke of their ‘relief that it was sorted’ and the improvement in their living conditions since the resident had left, whilst acknowledging that ‘it could happen to any of us’. This episode demonstrates the home’s ability to recognise the limits of their expertise and refer on any resident with care needs they cannot cope with. The acting manager explained that the medication system has been recently changed to pre-packed drugs provided by the local pharmacy. This was felt by the staff to improve the safety and reliability of administration of drugs. The administration records were seen and were appropriately completed. The drugs are currently stored in a locked cupboard in the dining room. This is to be replaced by a medication trolley which will be locked and fixed to the wall and will be used to take the medication to the resident. The trolley is on order and expected in the next few weeks. Residents and staff felt this was a great improvement on the past arrangements. One member of staff is responsible for ordering and checking in the medication in order to reduce any confusion. It is intended that all staff will receive refresher training in medication administration. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 12 Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 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 standard(s) 13,14 and 15. Residents are able to have visitors at any time and can share meals and activities with them. Residents have choice about the way in which they spend their day. A good, balanced range of food is provided that takes account of residents preferences. EVIDENCE: Residents confirmed that visitors can come at any time and can stay as long as they wish. Some visitors book in to share meals with the residents. During the inspection one resident was taken out by her son and two visitors were seen arriving and being shown to a resident’s room. Residents are able to go out independently or with friends. The involvement of the day care service users is seen by most residents as an added interest and gives them a range of people to socialise with. Two of the residents spoken with were planning to join in with the afternoon activities. One resident said ‘the day care takes the staff away from us’, but there was no evidence of this and the rota showed the staffing arrangements were organised to ensure adequate cover. The home is well known within the local community and is the focus of ‘chit chat’ whenever there are any difficult issues – as with the recent staffing Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 14 problems, so confidentiality can be a problem. The acting manager has felt the need to remind staff of the need to keep the home’s business private. The residents spoken to were very clear about their rights and feel able to air their views on all issues. One resident said about the proprietor ‘He is really good at talking to us and listening to our views’. Staff said they put the residents first, and were observed talking to the residents and giving them choice over the way the care is delivered i.e. getting up times, meal times, pre-meal drinks etc. No residents’ meetings have taken place in recent months and the residents felt it would be useful to reinstate these. It is recommended that this is arranged to give the residents the opportunity to question the staff and management team about what is happening within the home and share views about the future. There are two cooks employed at the home and they arrange the menus between them. The menus were seen and showed a good variety of food. One of the cooks was spoken to during the inspection and showed a good understanding of the dietary needs of the residents. There is always a choice of food and snacks are available throughout the day. A main meal was observed and was attractively presented. The tables are set for up to four residents at each and the meal is dished up at the table, with residents able to choose the food and the size of portion taken. Residents enjoyed their meal and were able to have second helpings if desired. The residents had met together in the dining room for pre-lunch alcoholic drinks. The shopping is done by the proprietor and there were plentiful supplies in the cupboards. Residents said they can request special foods and are often given extra treats such as ice creams. The food is homemade, including cakes, and fresh produce is used every day. One resident commented ’I think the food is too good – I’m putting on weight’. Birthdays and special occasions are celebrated with special food and birthday cakes. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 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 standard(s) 16 and 17. There is no evidence of a clear complaints procedure and staff were unsure about the process, although residents felt their concerns are always taken seriously and dealt with promptly. Residents legal rights are protected and supported. EVIDENCE: The staff on duty were not able to describe or find the complaints procedure but were clear that residents’ concerns are always taken seriously. The residents spoken to confirmed that they have daily access to the proprietor and senior staff and feel comfortable about the way any concerns are dealt with. Residents also are aware of their right to contact the Commission if they are worried about the practices within the home and have used this process to share concerns in the past. It is a requirement that a clear, workable system to investigate and record complaints is put in place and made known to residents, visitors and other interested parties. All residents spoken to on the day of the inspection, including day care users were clear that they had no complaints to make. The inspection took place in the lead up to the local and general elections and gave an opportunity to discuss with residents their involvement in the process. They explained that they were all registered to vote and most had opted to do postal votes. The residents themselves had invited some of the candidates to talk to them and were very interested in the process and the possible outcome. They were clear that they would not have any interference from the staff, or Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 16 anyone else, whilst making their choices. Staff equally were aware of the need for privacy and autonomy for residents. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 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 standard(s) 23, 24 and 26. Residents rooms meet their needs, are safe, comfortable and contain personal possessions. The home was clean and tidy and infection control systems were in evidence. EVIDENCE: Three residents’ rooms were seen during this inspection – the others had all been seen at the last inspection in January. The rooms were attractive, comfortable and personalised. One resident has purchased a special chair to assist his comfort and has organised his room to his best advantage, in terms of mobility. Residents are able to use their own furniture and have surrounded themselves with their treasured possessions. Residents said they have everything they need and feel that anything they ask for is provided. One resident said ‘things have improved since the new owners have taken over – they are getting things done that we’ve been waiting for’ and mentioned the pond area being cleared and the enlarging of the path to enable two people to walk safely together along it. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 18 The staff and residents recently suffered a stomach bug and staff have had to be reminded of the infection control procedures. The acting manager said she was surprised at how many staff had ‘got out of the habit’ of safe practice. The communication book for staff was seen to include clear instructions to staff which they had signed to say they had read. There was no infection control policy available. There is a plan to provide staff with refresher training in infection control to support the need for safe practice. It is a requirement that infection control policies and procedures are put in place and that all staff undertake training to ensure consistent safe practice. On the day of the unannounced inspection the home was clean, tidy and free of any offensive odours. There were no unsafe practices observed during the inspection. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27. The numbers of staff on duty meet the day to day needs of the residents but the lack of manager and deputy has led to low staff morale and little evidence of working as a staff team. EVIDENCE: The duty rota was seen and showed an adequate number of staff for the needs of the residents. There are generally 3 members of staff on duty during the day, plus domestic staff, a cook and the acting manager. At night there is one wakeful and one sleeping staff member. The acting manager explained that it had been a struggle to achieve this following the resignation of the manager and the absence of the deputy, as this also coincided with the sickness bug. Staff responded by agreeing to do extra shifts. Residents said they had not felt that they had been short staffed, but were aware of the effort that had gone into covering the shifts. In discussion with a number of staff it was stated that the rota was ‘a major problem as certain staff will only work certain shifts’. Other staff said that they felt that they had been expected to do shifts they had never been employed to do. There have been a number of challenges to the current leadership and some ‘playing one off against another’ with staff using the proprietor to, unknowingly, overturn decisions of senior staff. When asked about team work most staff acknowledged that there was very little. However, they all said that the welfare of residents was their main priority and that they individually worked well with the residents. There was an atmosphere of mistrust between Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 20 certain staff and this had been picked up by the residents who shared their views about what they thought had been happening. The majority of staff are hopeful that the situation will improve with the introduction of a new manager and feel there is a need for strong leadership. A minority are less hopeful and feel there is ‘a lot of nonsense going on’ relating to staff. Staff and residents appear to be aware that problems have occurred within the staff team, but they do not have accurate information and have therefore based their views on assumptions that are not necessarily correct. Although it is appreciated that confidentiality limits what can be said, it is recommended that a staff meeting and a residents’ meeting be called to provide information and allow people to air their anxieties. In answer to the question of whether the welfare of residents had suffered as a result of the staffing problems, most staff felt the residents were either ‘unaware’ or ‘enjoying the excitement’. Residents expressed concern for certain members of staff but confirmed that they feel they are still being well cared for. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 36 and 37. The home does not have a registered manager and is suffering from lack of accepted leadership. There is poor staff morale and no formal supervision. Records have not been consistently kept and there is a need to review and re-introduce policies and procedures. EVIDENCE: The registered manager resigned from the home following a dispute with the proprietors. The deputy manager has also been absent. Action taken under employment law has now been completed. The deputy manager is expected to return to work. The effect of this has been very unsettling for the staff team and there are mixed and divided loyalties. The acting manager was temporarily promoted from within the home, but has not had the support of all of the staff, some of whom are clearly very angry about what has happened. Whilst the acting manager has worked very hard, with the help of the proprietor, to keep the business going and protect the welfare of the residents, Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 22 she has not had the authority or the time to develop the necessary procedures and policies, or to improve the team working within the staff group. Instead, she has had to concentrate on providing sufficient staff to care for the residents and ensure safe practices are continued. She appears to have been successful in this but acknowledges that there is a great deal that has been left unattended to. The previous manager was new to the job when the proprietors took over and was beginning to develop systems and plans for the future – these have all been put on hold since her departure. The proprietors have appointed a manager who is due to start work within a month – she will then need to apply for registration. It is important that the proprietors and the new manager clarify the roles and responsibilities of the staff, and themselves, in order to provide clear and workable leadership in the home. There will be a large number of things for the new manager to achieve and whilst it is appreciated that this will take time the Commission will expect to see an action plan that is appropriately prioritised to ensure the regulations are complied with. Staff said they do not receive formal supervision. The acting manager monitors practice on a day to day basis and immediately deals with any issues as they arise. This has not been easy as she says that ‘there are too many managers and not enough workers’ and feels that everyone believes they know how to do things and are not interested in other’s opinions/instructions. This is clearly not acceptable and another indication the strong management and accountability is needed. There were no records of any supervision provided and the staff spoken to confirmed that there are many different, competing views as to how things should be done. It is a requirement that one to one, recorded supervision of staff take place on a planned basis. Records within the home have not been consistently kept since the absence of the manager and deputy manager and some, such as CRB checks, were not available to see at the inspection. There has also been a lack of notifications of significant events to the Commission. A review of the records, and clarity about who is responsible to complete them, is necessary to meet the standards/regulations. Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 1 1 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 4 COMPLAINTS AND PROTECTION x x x x 3 4 x 2 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 1 3 x x 1 x x x 1 1 x Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 24 yes Are there any outstanding requirements from the last inspection? 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. 2. 3. 4. 5. 6. Standard 1 2 16 26 36 37 Regulation 4 5 5 13(3) 18(2) 17(2,3) Requirement Review and up-date the statement of purpose Provide written contracts to all residents setting out fees payable Produce a clear and accessible complaints procedure Produce a policy on infection control and monitor safe practice Provide recorded supervision of staff Records must be kept up to date and reviewed to ensure they meet the Regulations Timescale for action 01.08.05 01.07.05 01.07.05 01.06.05 01.06.05 01.07.05 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 7 7 32 Good Practice Recommendations Residents and/or representatives agree and sign the care plans Review the recording of care plans to ensure clarity and consistency Re-instate residents and staff meetings to ensure openness and opportunity to share views. H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 25 Merrydale, Commission for Social Care Inspection Mill Court Furrlongs Newport PO30 2AA 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 Merrydale, H55H04_S62066_Merrydale_V216955_280405 Stage 4.doc Version 1.30 Page 26 - 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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