Inspection on 30/10/07 for Mersey Parks

This inspection was carried out on 30th October 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Mersey Parks 22/09/09

Mersey Parks 12/06/06

Mersey Parks 04/12/05

Mersey Parks 28/06/05

Mersey Parks 28/02/05

Mersey Parks 27/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Mersey Parks 99 Mill Street Liverpool Merseyside L8 5XW Lead Inspector Jeanette Fielding Key Unannounced Inspection 10:00 30th October 2007 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 Mersey Parks DS0000025196.V338343.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. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mersey Parks Address 99 Mill Street Liverpool Merseyside L8 5XW 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) 0151 709 4791 www.bupa.com BUPA Care Homes (CFHCare) Limited Susan Margaret Kennedy Care Home 150 Category(ies) of Dementia - over 65 years of age (90), Old age, registration, with number not falling within any other category (60) of places Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 150 services users to Include:*up to 27 service users in the category of OP (Old age not falling into any other category, and 3 named persons aged under 65 years (NSpringfield House). *Up to 29 service users in the category of DE(E) (Dementia over 65 years of age) and 1 named service user in the category of DE (Dementia) (N- Greenbank House) *Up to 30 service users in the category of DE(E) (Dementia over 65 years of age) (PC- Sefton House). *Up to 29 service users in the category of OP (Old age not falling into any other category and 1 named service user aged under 65 years of age. (PC - Princess House) *Up to 29 service users in the category of DE (E) (Dementia over 65 years of age) and 1 named service user in the category of DE (Dementia under 65 years of age) (PC- Stanley House. 12th June 2006 Date of last inspection Brief Description of the Service: Mersey Parks is a purpose built home, built approximately fourteen years ago. The home comprises five separate buildings, each having a separate management and staff structure. The home is registered to provide care for people aged over 65 years. Springfield House provides general nursing care, Princes House provides personal care, Greenbank House provides nursing care for elderly people with dementia and Sefton and Stanley Houses provide personal care for elderly people with dementia. Each house provides thirty bedrooms together with lounge and dining areas. Mersey Parks is close to local shops and amenities and is located within a short car/bus ride to Liverpool City centre. The fees charged by the home are from £307 to £597 depending on the level of care required. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on two consecutive days over a period of 12 hours. This was the key unannounced inspection and was carried out as part of the regulatory process. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Discussion took place with the registered manager, nurses, care staff, service users and visitors to the home. The manager had completed a pre-inspection questionnaire which gave further insight into the home. What the service does well: 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. The summary of this inspection report can Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. Mersey Parks DS0000025196.V338343.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 Mersey Parks DS0000025196.V338343.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed pre-admission assessments are undertaken on all prospective service users to ensure that their care needs are identified and can be met. EVIDENCE: The home has a detailed Statement of Purpose and Service User Guide. The documents provide current and prospective service users with full information about the home and the services provided. Copies of these are available from the home on request. The form used for the pre-admission assessment of service users had been developed corporately. The form is extremely detailed and provides for full information about the prospective service user to be gathered. Details regarding the service users care, health and social needs are gathered to Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 9 enable the home to evaluate whether they can meet the specific needs of the service user. The completed form provides sufficient information to enable a plan of care to be prepared and for the home to identify and provide any specialist equipment necessary prior to admission. A selection of preadmission assessments were inspected across all houses within the home and all were found to be informative and completed as necessary. Service users are re-assessed following admission to the home to ensure that their care needs have not changed since the pre-admission assessment was completed. Evidence was seen of identified equipment being provided prior to admission to ensure that the needs of the service user are met. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are detailed to provide staff with full information regarding service users needs to ensure that those needs can be met. EVIDENCE: Care plans are prepared for all service users on admission using the information gathered in the pre-admission assessment. Service users are then re-assessed to identify any changes to their care needs, and the care plans amended accordingly. The service user or their representative agrees the plan of care and signs the plans to indicate that agreement. All plans are reviewed on a monthly basis or more frequently as necessary. A full assessment is undertaken after six months to fully review all aspects of care and the service users preferences. A sample of care files was inspected on all houses within the home and all were found to follow the ‘QUEST’ system that BUPA have developed. Staff in all houses said that training in the use of the forms had Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 11 been given, and whilst they found the forms difficult to use initially, had now found them extremely effective and easy to use. The care files inspected were found to contain full information regarding the service users health and care needs and the daily reports completed by staff on all service users provide evidence of the actual care given. The files show that the service users health is monitored and appropriate action taken. Professional advice on health care issues are sought whenever necessary. A full audit is undertaken on all care files within the home on a regular basis, with a random selection being chosen at any one time. This information is given to the manager who is then made fully aware of the service users needs and the standard of care provided in each house. Springfield House. The files inspected showed that full risk assessments had been prepared for the service users and plans put in place to reduce or remove the risks. One file identified that the service user had a wound and that this had been mapped and photographed to provide evidence of improvement. Little information is recorded on care files of the activities that service users participate in, particularly for those service users who are unable to participate in group activities. Greenbank House. The files inspected were detailed, with one file inspected giving full details of the service users individual preferences such as the time that they like to go to bed and rise and the number of pillows that they preferred on their bed. This information enables the staff to provide a higher level of satisfaction to the service user. One file was due for review due to the changing needs of the service user. The service users personal and work history is also recorded to give staff greater insight. Stanley House. The files on this house were extremely detailed and all were found to be up to date. The daily records were informative and provide evidence of the care given. Princes House. These files were informative and detailed and included specific details of individual preferences in relation to service users social preferences. Sefton House. Care files were found to be detailed and included assessments, care plans and risk management plans. New photographs have been taken to place on service users files and the unit manager said that she intended to replace these very soon. Regular audits are undertaken on all medications on a regular basis within the home. The home is looking to change the pharmacist for the home, as the current pharmacist is a considerable distance away, which presents as a problem when medications are required at short notice. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 12 In Springfield and Greenbank house, insulin in use was found to be stored in the refrigerator. This should be stored at room temperature. In Sefton House, the temperature of the refrigerator was recorded over several weeks as being above the safe level for the storage of medications. No action had been taken by the staff regarding this. It could not be established whether the refrigerator or the thermometer were faulty and appropriate measures should be taken to ensure that medications are stored at the appropriate temperature. One service users was prescribed Quetiapine 25 – 200 mgs at night and when necessary. No information was recorded as to the circumstances that would lead to it being required and the amount to be given at any one time. This medication had been given but insufficient information had been recorded with regard to the reason for its’ administration. All storage rooms were found to be clean and organised and no unnecessary medications were stored. All service users are accommodated in single bedrooms. All personal care is given in service users bedrooms or in the bathrooms as appropriate to protect their privacy and dignity. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A good range of meals is offered together with special diets to meet service users needs and preferences. EVIDENCE: The home employs two activities co-ordinators to provide activities and social stimulation for the service users. One additional co-ordinator is currently being recruited. A programme of activities is provided in each house and this is displayed on notice boards throughout the home. Activities include music, singing, games and quizzes. A mobile shop is taken around each house with sweets, toiletries and tights for service users to have the opportunity to choose their purchases. At the time of the inspection, staff were involved in preparing for a Halloween party that was to take place in one of the houses. It was evident that activities, nursing, care and ancillary staff were heavily involved in the decoration of the house and were all preparing their costumes for the evening. Catering were preparing a buffet appropriate for the occasion. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 14 Service users spoken to said that they were looking forward to the event and how wonderful the house looked with the Halloween decorations in place. A record, within the daily care file, of activities that service users participate in would give greater insight into the service users daily life. The home provides for the cultural needs of service users who do not speak English. The services of the Multi Cultural Society will be sought for translation purposes. Picture symbols have been prepared to enable this service user to choose from a range of options by the use of these cards. Special diets can be provided to meet religious or cultural preferences. Visitors are encouraged to visit the home and are welcome at any time, although the main gates to the home are locked at night. Access to the home when the main gates are locked are by contact with one of the houses through an intercom system on the gates. Meals are prepared in the main kitchen and are transported to the houses in heated trolleys. The meals are then served individually to service user from the small kitchens provided in each house. The meals were observed to look appetising and were attractively served. Service users may take their meals in the dining room or in their own bedroom as they wish. A choice of meals is offered and the main meal of the day is served in the evening. A cooked breakfast is always available and breakfast can be taken at any time during the morning as the service user wishes. In Stanley House, mealtimes are classed as a ‘protected time’ where televisions and music are turned off to allow service users to concentrate on their meal. This has proved extremely successful with service users enjoying their meals in a calm and quiet environment. Discussion with the chef provided evidence that he is made fully aware of each service users preferences and special diets with good communication systems in place between the houses and the kitchen. The main kitchen is extremely clean and organised with a good stock of fresh foods available. It was evident that, throughout the home, choices are offered to service users in all aspects of daily life and staff strive to provide for the service users individual preferences. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. 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 robust complaints procedure to ensure the protection of service users. EVIDENCE: The home is owned by BUPA Care Homes Limited who has produced a corporate complaints policy and procedure. Information on how to make a complaint is detailed in the Service User Guide and the Statement of Purpose, and is also displayed on notice boards throughout the home. The records held by the home provide evidence that complaints received had been addressed appropriately and in a timely manner. The number of complaints received by the home since the appointment of the new manager has dramatically reduced. All staff have been given training on the Protection of Vulnerable Adults and the different types of abuse. This is updated on a regular basis and evidence of this is held on the staffs’ individual training files. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 16 Staff spoken to during the inspection confirmed that they had been given training and all were able to demonstrate that they were aware of the procedure to follow in the event of abuse being suspected. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further investment is required to further improve the environment to provide service users with a more pleasant home in which to live. EVIDENCE: This home comprises five separate houses for service users with a central building comprising management, administration, catering, laundry and hairdressing services. The home is located on a large site which provides separate secure garden areas for service users from each house. The home employs maintenance personnel to attend to repairs, redecoration and maintenance. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 18 A number of maintenance issues were identified during a full inspection of the premises. Springfield House. Two extractor fans were found not to be working and this was reported to the maintenance team at the time of the inspection. The paintwork on doorframes and the corners of walls and doors have become damaged from bumps by wheelchairs and trolleys and would benefit from redecoration. The armchairs in the lounge are becoming worn and faded and consideration should be given to replacing these in line with the refurbishment programme. The panel on the exterior of the fire door, E1, has rotted and requires replacement. Greenbank House. There was some malodour within this house. Staff spoken to said that it was possible that the odour was from the carpets, despite them being cleaned on a regular basis with a commercial carpet cleaner. This house provides small boxes outside service users bedrooms where items of memorabilia can be placed to assist service users in identifying their own room. This has been very successful and family members have been proactive in providing suitable items to place in the boxes. One bath seat was found to require to be cleaned. Stanley House. This house was clean and fresh throughout with no issues being identified. Princes House. New flooring has been fitted in some of the bedrooms which are now bright and fresh. The armchairs in the lounge are becoming worn and stained and would benefit from replacement in line with the homes’ refurbishment programme. The carpet in bedroom 10 is stained and the furniture is becoming shabby. The door to the smoking lounge has become damaged by wheelchairs and requires protection from further damage. Some of the mattresses provided are longer than the beds on which they were placed resulting in an area of unsupported bed at the bottom. This may present as a risk if service users were to sit on the end of the bed and should therefore be replaced. Sefton House. Some of the mattresses provided are longer than the beds on which they were placed resulting in an area of unsupported bed at the bottom. This may present as a risk if service users were to sit on the end of the bed and should therefore be replaced. There was a short supply of pillows and duvet covers and a supply of these should be obtained. The carpet in room 14 is in poor condition and requires replacement. Each house has been provided with a secure garden for use by service users and is provided with seating. The home provides a good number of toilets, baths and showers. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 19 Staff and relatives have strived to provide service users with a comfortable and homely bedroom with the provision of pictures, photographs and items of memorabilia. The home was clean and it was evident that the housekeeping team work hard to maintain a pleasant and hygienic environment for service users. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs a well trained staff team to provide nursing and personal care to the service users. EVIDENCE: Each of the houses is staffed independently with a designated care manager to supervise the care provision. The staff rotas provide evidence that each individual house provides staff in sufficient numbers to meet the needs of the service users accommodated. The home provides qualified nurses in those houses that provide nursing care, and qualified care staff in the houses that provide personal care. All senior staff are supported by a team of care staff. The home also provides housekeeping, catering, maintenance and administration staff. The home has a robust recruitment procedure. All prospective staff are required to complete an application form prior to interview. A record is held of the interview. Two references are taken together with POVA and CRB checks. Evidence of qualifications and training are to be produced and gaps in employment history require explanation. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 21 All new staff are required to complete a comprehensive induction and foundation training programme and staff work with a work based mentor. A record of this training is held on their files. Records are now held of all training undertaken by staff. These records, together with a training matrix, show that 65 of the care staff now hold NVQ at level 2 or above. An additional two staff are currently working towards level 3. Appropriate training opportunities are offered to all other staff within the home to further promote good practice. Supervision is given to all staff and staff meetings are held on a regular basis. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management of the home is strong with systems in place to regularly review performance and ensure that service users are protected. EVIDENCE: The Registered Manager of the home is a qualified nurse and is extremely experienced in the management of care provision for elderly people. She has been employed in a management role within BUPA care homes for many years and has demonstrated her ability in management within a number of services. The manager is accessible to service users, relatives and staff and her office is within the administration building. The manager is able to describe a clear Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 23 vision of the home based on the organisations values and priorities. The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of ‘best practice’ operational systems, particularly in relation to continuous improvement, customer satisfaction, and quality assurance. Equality and diversity issues are given priority by the manager who is aware of the varying strands this involves. The home issues comment cards to service users to enable them to express their view of the home. Comments are always welcomed from relatives, healthcare professionals and other visitors to the home and the comment cards are available in the receptions areas. Annual questionnaires are sent to service users accommodated for general nursing or personal care, and to relatives of service users accommodated for care due to their dementia. The majority of service users have their monies handled by their next of kin or an advocate. The home does not attend to the finances of any of the service users. The home can assist service users to open a bank account within a building society where they can be invoiced charges such as hairdressing or chiropody. Monthly visits are made to the home by the Responsible Individual, as required, and a report completed. All staff are made aware that they hold some responsibility for the health and safety matters within the home. All health and safety matters must be reported appropriately and the records show that these issues are addressed as a priority. A central fire logbook is held that details all the fire alarm and emergency lighting tests for each of the five houses. Fire drills are held on a regular basis for all staff. All records were found to be well maintained. Tests are also made on the hot water temperatures to ensure that service users are not at risk from scalding. Safety certificates in relation to the fire alarm, emergency lighting, gas, hoists, electricity and portable appliance testing were found to be in order. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 X X 3 Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement The registered person must ensure that appropriate temperatures are maintained for the storage of medications. Timescale for action 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP9 OP19 OP19 Good Practice Recommendations Additional information for the use of ‘when necessary’ medications should be recorded. Consideration should be given to reviewing the programme of redecoration and refurbishment. Mattresses that fit beds should be provided. Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Burlington House Crosby Road North Waterloo Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mersey Parks DS0000025196.V338343.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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