Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 22/11/05 for Molyneux Park Rest Home

Also see our care home review for Molyneux Park Rest Home for more information

This inspection was carried out on 22nd November 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a well-maintained, friendly and homely environment for residents and ensures that they are only admitted if their needs can be met. Any concern over the health of a resident or the need for specialist involvement is referred promptly to the GP or other professionals. Care is provided in a dignified manner and staff have time to spend individually with residents. Residents speak highly of staff and although no complaints are recorded, they said they would be happy to address any to the homeowners, feeling they would be listened to. Residents are consulted over issues regarding the running of the home. Staff spoken with enjoyed their work, were well established, and felt well supported. .

What has improved since the last inspection?

The external environment has been improved with the addition of a more accessible driveway, repainting of the building and partial re -roofing. All bedroom windows have been fitted with window restrictors. Staff have attended a number of training courses including, medication administration, COSHH, manual handling and fire safety. Other outstanding training due is booked. Procedures for the recruitment and vetting of staff have been refined to ensure the safety of residents. The home`s adult protection policy has been revised; staff have received adult protection training and have access to updated adult protection procedures. Meal options are now clearly displayed in the dining room as well as being verbally offered daily. The home has developed an annual business plan.

What the care home could do better:

Care plans need to include additional information regarding health and social care needs and would benefit from being refiled in ring binders with an index and introductory front sheet.Should the opportunity arise to relocate space in the premises, the visitor`s room needs to be larger than at present. Radiators that are unguarded without low temperature surfaces must be fitted with guards. Ensuring that residents all have individual flannels and that jars of food refrigerated are labelled with the date of opening will enhance the health and safety of residents. Outstanding mandatory and service specific training planned needs to be attended by staff. NVQ training for care staff must commence as a priority. The manager of the home needs to commence with NVQ 4 training.

CARE HOMES FOR OLDER PEOPLE Molyneux Park Rest Home 38 Molyneux Park Road Tunbridge Wells Kent TN4 8DY Lead Inspector Debbie Sullivan Announced Inspection 22nd November 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 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. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Molyneux Park Rest Home Address 38 Molyneux Park Road Tunbridge Wells Kent TN4 8DY 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) 01892 544322 Mr Colin Wallis Mrs Sheila Wallis Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2005 Brief Description of the Service: Molyneux Park Rest Home is registered to provide personal care and accommodation to sixteen older people. The home is located in a quiet residential area of Tunbridge Wells near to local shops. There is a nearby bus service into the centre of Tunbridge Wells that contains the shops and facilities of a large town. The main line railway station is near the town centre. Accommodation at the home is on three levels with access to upper floors via stair lifts, there are ten single and three double rooms, one double room is used as a single. Communal areas consist of a lounge, dining room and conservatory. Three of the single rooms are equipped with en suite facilities. There is a staff call system and each room has a television point. A small garden and patio to the rear of the building with a lawned area are available for residents to use. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over six and a half hours; during the day time was spent with the owners of the home, residents, both individually and in communal settings, carers, the cook and visitors. A full tour of the premises took place. Information was also gained from reading documentation and the pre inspection questionnaire completed by the home. A small number of comment cards had been returned by service users and relatives. This report takes into account information gained on this inspection and that from the unannounced inspection held on 26.7.2005. Throughout the day staff were helpful and happy to provide information to assist the inspection process. There was a pleasant relaxed atmosphere in the home and staff interacted positively and confidently with residents. The home had one vacant bedroom and one staff vacancy. Comments on comment cards and from residents and visitors spoken with during the inspection included, “I have no complaints, if I looked for them I couldn’t find them” “I am more than happy with the care” “If I need help they (carers) are there” “I am happy with everything” “In 6 years I have never had a bad meal” “I love it here” “Nobody makes you feel inferior” “ The food is delicious” “Staff are under considerable pressure but cope well”. What the service does well: Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 6 The home provides a well-maintained, friendly and homely environment for residents and ensures that they are only admitted if their needs can be met. Any concern over the health of a resident or the need for specialist involvement is referred promptly to the GP or other professionals. Care is provided in a dignified manner and staff have time to spend individually with residents. Residents speak highly of staff and although no complaints are recorded, they said they would be happy to address any to the homeowners, feeling they would be listened to. Residents are consulted over issues regarding the running of the home. Staff spoken with enjoyed their work, were well established, and felt well supported. . What has improved since the last inspection? What they could do better: Care plans need to include additional information regarding health and social care needs and would benefit from being refiled in ring binders with an index and introductory front sheet. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 7 Should the opportunity arise to relocate space in the premises, the visitor’s room needs to be larger than at present. Radiators that are unguarded without low temperature surfaces must be fitted with guards. Ensuring that residents all have individual flannels and that jars of food refrigerated are labelled with the date of opening will enhance the health and safety of residents. Outstanding mandatory and service specific training planned needs to be attended by staff. NVQ training for care staff must commence as a priority. The manager of the home needs to commence with NVQ 4 training. 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. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 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 Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 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): 1,2,3,4 and 5. Residents are able to access information about the home to enable them to make an informed choice. Needs are fully assessed prior to admission. EVIDENCE: The home has a statement of purpose and service user’s guide; the statement of purpose includes a resident’s charter, which has now been added to the contract provided for residents. The manager of the home undertakes a ‘needs – assessment’ before a place is offered and written confirmation of a place is given prior to a resident moving into the home. If a resident is referred to the home by social services, a comprehensive joint assessment is provided; in the case of private residents, the manager seeks to obtain more information from relatives and any professionals involved. Residents and their relatives are welcomed to view the service and a resident said that their daughter had done so on their behalf. If a place in a double room is offered, agreement to acceptance is recorded. The home does not offer intermediate care. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,10 and 11. The health and personal care needs of residents are well met. Information contained in care plans needs to be expanded. Procedures for the administration of medication have improved with recent staff training. EVIDENCE: Some care plans were read; they included information on the personal and healthcare needs of the resident, risk assessments, additional medical information and daily record book, giving information on care received during the day, activities, any additional medical input or relevant information such as visits from relatives. Care plans would benefit from being expanded upon to include more detail, especially in relation to personal preferences regarding care delivered, risks and interests and from being put into ring binders. A front sheet giving an overview of the residents needs, background and interests would be helpful for new staff. The manager has complied a new form to record care needs. Care plans contained evidence of contact with health professionals and specialist support such as that of a speech therapist or physiotherapist is Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 11 sought when required. Residents remain with their own GP’s if possible and the home has contact with several surgeries. If the needs of a resident can no longer be met by the home, a reassessment is requested; the manager gave a recent example of this. No resident was self-medicating although this option is available. Medication is kept in a lockable cupboard, as the home does not have suitable space for a larger area to be dedicated to storage. The Nomad system is used and although no controlled drugs were in use at the time of the inspection, a small number of residents were prescribed Temazapam, stored in line with advice from the homes’ pharmacy. A tray in the medication cupboard needed cleaning and the manager said they would address this as a priority. A sample of MAR sheets was inspected; all contained photographs of the residents, had been filled in correctly and double signatures used for Temazapam. Since the last inspection staff administering medication had received medication training. Throughout the inspection staff were seen to treat residents with respect and dignity and residents spoken with said their care was given appropriately. The wishes of residents in the event of their death are recorded if they feel able to discuss this. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 12 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. Residents are able to exercise choice and control over their daily lives. Contact with relatives and friends is encouraged and would be further supported by a larger visitor’s room. Meals are well cooked and varied, with choice on offer. EVIDENCE: Residents spoken with liked being able to decide whether to spend time in their rooms or to join others in communal areas. During the inspection some residents were watching television the lounge, some were in their rooms and there was the option of accessing the conservatory for those not wishing to watch television. The manager and staff regularly offer residents the opportunity to take part in card or board games or to listen to music, although currently the take up from the resident group is low and many prefer the TV. A monthly motivational session from an outside specialist provider takes place; the manager spoke of the possibility of also offering regular interactive music sessions from another new provider in order to vary activities. The home has a mini bus and outings are provided in good weather. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 13 Visitors are welcomed; several were at the home during the day and one resident’s visitors said they arrive at varying times and are always made welcome. Another resident spoke of going out with their relative regularly. The visitor’s room is very small and upstairs, this is due to the lack of alternative space; should the home redevelop at any stage, relocation of the visitor’s room will be looked into. Apart from residents’ rooms, the conservatory can be used for visitors. Time was spent with the cook and lunch was partially observed. The dining room is attractively furnished and a written main menu and options were displayed. Residents choose their main and evening meal on a daily basis and a record is kept of the alternatives provided. The home caters for diabetics and the cook is aware of personal likes and dislikes. Residents are consulted about changes to the menu. Comments regarding the food were positive and residents said they had enjoyed their lunch. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 14 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): 16,17 and 18. Residents and their relatives can feel confident that any complaints will be listened to and addressed. Residents are protected from abuse by improved adult protection procedures and information in the home. EVIDENCE: The home has a complaints procedure that is displayed in the entrance area. No complaints had been received since the last inspection. Staff spoken with were aware of the procedure, residents and visitors said they would be happy to raise any issues with the home owner and that they felt they would be addressed. Those residents spoken with had not had cause to complain. Legal advocates and relatives support the rights of residents where necessary; no residents were currently using advocacy services. The home has an adult protection procedure that has been updated. Adult protection training had been provided since the last documented inspection. The revised Kent and Medway adult protection procedures were available to staff. Procedures for CRB and POVA checking new staff members had been improved and evidence was seen of recent CRB and POVA disclosures. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 15 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): 19,20,21,22,23,24,25 and 26. The home provides a clean, safe and well-maintained environment for residents. Individual bedrooms are personalised, with privacy available in shared rooms. Equipment to aid independence is in place. EVIDENCE: The home was clean, warm, well maintained and well decorated throughout; the building is a converted older style property, so bedrooms vary in size and shape. All the bedrooms were seen; each had been personalised attractively by residents and those spoken with were happy with their rooms. One resident spoke of moving from a double to single room when a single one became available and of liking the location of the room on the ground floor, as they were able to watch the comings and goings of the home. One registered double room is being used as a single as it does not adequately offer space for two people; there was one vacant single room. Screening and curtaining provide privacy in double rooms. Bedrooms are located on all three floors and Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 16 are accessed via a stair lift; the lift is in two parts with a gap between four stairs to the third floor, the upper part had a fault on the day of the inspection so the engineer had been called. The home is considering replacing the stair lift with one that removes the need for residents to negotiate the few stairs and so have more independent access to lower floors. It is planned that an occupational therapist be asked to offer advice on this and undertake an environmental assessment of the whole building. Communal space is provided in the lounge, dining room and conservatory. Equipment to aid independence was in place in the home and some residents had personal specialised equipment such as zimmer frames. Some radiators in bedrooms and communal areas without low temperature surfaces were unguarded; the owners plan to rectify this during the winter. The small laundry area is located in the basement near to the kitchen with a door to isolate it from the kitchen and a food storage area also nearby. Again this is not ideal but the space available in the building does not allow for a larger dedicated laundry area. Care staff are responsible for laundry and follow procedures for separating soiled and other washing. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 17 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. Whilst an experienced and committed staff group support residents’ needs, additional training will enhance skills and care staff must undertake NVQ courses to comply with the national minimum standards. Recruitment procedures have improved to protect the safety of residents. EVIDENCE: The home had carried a vacancy for a member of care staff for some time due to difficulty in recruiting staff in the area; as a result the manager had been covering a number of care hours during the week and at weekends. The post was being advertised and a possible applicant had been in contact. Two care staff are on duty during the day, with one sleep in and one waking member of night staff. The home also employs a cleaner and a cook. Staff had received updated mandatory training provided by an outside agency on such topics as manual handling, POVA and fire safety since the last inspection when this need was identified. Other mandatory and service specific training such as that on diabetes is scheduled. Staff spoken with said they had been on lots of courses recently. No care staff had gained or were enrolled on NVQ 2 or above courses, thereby the home was not meeting the standard in this respect. The manager had accessed information for staff on the training from an NVQ assessor that now needs to be progressed as a priority. Staff observed and spoken with were confident and competent and showed a commitment to meeting the individual needs of residents. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 18 Recruitment procedures had improved with the introduction of a formalised record sheet to document interview responses, all staff are CRB and POVA checked and some CRB’s have been updated. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 19 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): 31,32,33,34,35,36,37 and 38. Residents live in a home that has a friendly and open atmosphere. Staff need to have regular formalised supervision meetings put into place. Measures are in place to protect the financial interests and health and safety of residents. EVIDENCE: The manager of the home is experienced in its running and the needs of older people, although had not yet undertaken an NVQ 4 in care and management course. It was clear that staff felt well supported; they spoke of being able to ask for advice and support from the manager on an informal basis both individually, and with colleagues. Formalised supervision meetings for all staff were not being held, the manager is to commence sessions and is compiling a document to record meetings. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 20 The ethos of the home is one of a friendly family atmosphere that is informal and where residents and staff feel at home; this benefits the residents and makes visitors feel welcome. Alongside this the manager acknowledges that there have been shortfalls in aspects of the more formal management of the home such as planned supervision, a training schedule and updating of care plans. Some of the work identified as being needed at earlier inspections had been put into place, examples being the updated training provided and scheduled in recent months and the development of a plan for improvements to the home. Measures are in place to ensure safe working practices and COSHH risk assessments had been revised. The home has a valid insurance certificate and maintenance records seen were up to date. Records of the fridge and freezer temperatures were also up to date and within range in the kitchen, open jars in the fridge had not been labelled with the date of opening. Mr Wallis is responsible for regular maintenance and environmental checking. The home does not manage the finances of any resident; where possible residents manage their own money or are assisted by a relative or solicitor. Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 21 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 2 3 3 2 3 STAFFING Standard No Score 27 3 28 1 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 3 3 1 3 2 Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 22 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 22 Regulation 23(2)(n) Requirement Timescale for action 31/01/06 2 22 23(2)(e) 3 25 13(4)(c) “The registered person shall ensure that suitable adaptations are made, and such support, equipment and facilities, including passenger lifts as may be required are provided” In that an environmental assessment of the home by a person qualified to do so be undertaken to establish if there is need for further adaptations or equipment. “The registered person shall 31/01/06 ensure that adequate private and communal space is provided for service users” In that the environmental assessment specifically offers advice on equipment that will enable those on the upper floor to access communal areas freely. “The registered person shall 31/01/06 ensure that any unnecessary risks to the health or safety of service users are identified and so far as possible eliminated”. In that all radiators without low temperature surfaces must be fitted with guards. DS0000023987.V259833.R01.S.doc Version 5.0 Molyneux Park Rest Home Page 23 4 28 18(1)(C) 5 31 9(1)(i) 6 36 18(2) 7 38 13(3) “The registered person shall ensure that at all times suitably qualified, competent and experienced persons are working at the care home”. In that care staff must commence NVQ 2 or above training as an urgent priority to comply with standards. Action to be taken by the home to evidence commitment to this training to be received by CSCI as soon as possible. This requirement has been repeated from previous inspections. “A person shall not manage a care home unless he has the qualifications, skills and experience necessary” In that the manager of the home must undertake NVQ 4 training in management and care as a priority. “ The registered person shall ensure that persons working in the care home are appropriately supervised” In that formalised and recorded one to one supervision meetings for all staff must be introduced. “The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home” In that opened jars of food must be labelled with the date of opening. 31/01/06 31/01/06 31/01/06 31/01/06 Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 24 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 OP7 Good Practice Recommendations It is strongly recommended that the information in care plans be expanded upon, particularly in relation to personal care needs and preferences, risk assessments and interests. This recommendation is repeated from previous inspections. It is recommended that care plans be indexed and put in a ring binder with a basic information sheet in the front, so that information can be easily accessed. It is strongly recommended that the medication storage cupboard be kept clean of any spillages at all times. It is strongly recommended that in the event of redevelopment of the home the visitors’ room be relocated to offer more space and be more accessible. It is recommended that the manager and one other staff member interview applicants for work at the home. It is recommended that each service user have their own named flannel. 2 3 4 5 6 OP7 OP9 OP13 OP29 OP38 Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Molyneux Park Rest Home DS0000023987.V259833.R01.S.doc Version 5.0 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!