Inspection on 19/12/07 for Mont Calm

This inspection was carried out on 19th December 2007.

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

The inspector 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

Mont Calm 25/07/08

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

CARE HOMES FOR OLDER PEOPLE Mont Calm Margate Shottendane Road Margate Kent CT9 4NA Lead Inspector Jenny McGookin Unannounced Inspection 10:00 19 December 2007 th 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 Highbury House DS0000071108.V359980.R02.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. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mont Calm Margate Address Shottendane Road Margate Kent CT9 4NA 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) 01843 221600 01843 221600 Mr Stephen Anthony Castellani Ms Jacqueline Newell Care Home 31 Category(ies) of Dementia - over 65 years of age (31) registration, with number of places Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2007 (under previous ownership) Brief Description of the Service: Mont Calm is a large detached building with accommodation for residents on two floors. There are 24 single bedrooms and 5 doubles, including 6 with ensuite facilities. There is a shaft lift to the first floor and a stair-lift. Communal rooms include a dining room, four lounges and a small room where smoking is allowed. Corridor doors are kept locked on the ground floor for safety, therefore residents have to ask for staff assistance to access to upper floors. The home is located in a residential area, close to farmland and Margate town centre, with all the community and transport links that implies. There is unrestricted kerb-side parking for up to six vehicles. The current fees for the home range from £377.38 to £450.00 per week. The items not covered by fees include: clothing, toilet requisites, stationery, dry cleaning, hairdressing, chiropody, physiotherapy, newspapers, special beverages / meals, medical requisites (other than by prescription), spectacles, hearing aids, batteries, incontinence products and items of a luxury or personal nature; any other treatment or care requested by or necessitated by a resident’s worsening state or health not provided by the NHS, as well as certain forms of entertainment and outings. Information on the home’s services and the CSCI reports for prospective service users should be detailed in the Statement of Purpose and Service User Guide. There is currently no e-mail address for this home. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on a second unannounced key inspection site visit, which was used to check progress with matters raised from the last inspection undertaken in August 2007. When the inspection was originally scheduled it was known that the home was up for sale but there was some uncertainty as to whether the sale would have been completed by the time the inspection was due to take place. Given that all the timeframes from the previous inspection had run their course it was agreed that the scheduled inspection should go ahead anyway to ensure the safety and well being of the service users. In the event, the service had just been sold to its new proprietor but it was inevitable that in writing this report the inspector had to make reference to the previous inspection report. This report should, therefore, be read in conjunction with the report of August 2007 to obtain the complete picture. The inspection process took eight hours. It involved meetings with the manager, a conversation with three residents (over lunch), one individually and a visiting relative, a senior care assistant, the chef and the maintenance officer. The inspection also involved an examination of records (including three personnel files), and the selection of two residents’ case files, to track their care. Interactions between the staff and residents were observed throughout the day. Five bedrooms were checked for compliance with the National Minimum Standards on this occasion, along with some communal areas. This effectively means that, when read in conjunction with the last inspection report, all areas of the home have been inspected. What the service does well: What has improved since the last inspection? The manager has been meeting with contractors (electrician, hoists/lift, telephone) to set up new service contracts. This will include the provision of Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 6 cleaning equipment. The manager has also set up shopping websites to obtain regular deliveries of fresh meat, fruit and vegetables. An Infection Control Nurse has inspected provision at the home and an action plan has been drawn up to address the matters raised. Soap dispensers and hand towels are being fitted in every bedroom and on every floor (along with glove dispensers) to improve standards of infection control. There are two lunchtime sittings – the first is for those residents who require assistance, though others can join this sitting if they want to (one routinely does). One resident prefers to sit on their own with a carer. There will be a 2nd deputy manager after Xmas 2007. One will take a lead on administration work and the other will work on the floor giving direct care. The manager has carried out a room-by-room audit along with the home’s maintenance officer and has drawn up an action plan to address all the matters raised by the last inspection. This work was ongoing at the time of this inspection visit. A gardener will be coming in to tend the site. A carpet fitter came in on the day of this inspection visit to measure up the entire ground floor and shutters and exterior paintwork were in the process of being painted. The internal doors will be fitted with more discreet security fixtures so that the locks and keys can be dispensed without compromising the safety of residents with dementia. 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 be made available in other formats on request. Highbury House DS0000071108.V359980.R02.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 Highbury House DS0000071108.V359980.R02.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 1, 3, 4, 5 The home has not been able to robustly evidence that prospective residents and their representatives have the information needed to choose a home which will meet their needs. The home has not been able to robustly evidence that prospective residents have their needs assessed before admission is offered. EVIDENCE: The home has a Statement of Purpose and Service User Guide, as required. A previous inspection judged the revised editions were compliant with the elements of the National Minimum Standard so this Standard was not reviewed on this occasion. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 9 A recommendation to evidence whether other languages or formats (e.g. large print, tape etc) were warranted e.g. in an admission checklist, has not been pursued. The inspector was still reliant on anecdotal information on the extent to which prospective residents have been supported to understand the information available. No other languages are currently warranted. The admission process is as described at the last inspection. That is to say, assessments carried out by care managers are used by the manager to inform her own. Two cases were selected for case tracking. One resident’s file included the home’s own preadmission assessment, the other did not. Prospective residents or representatives are encouraged to visit the home and each resident is offered a trial stay of four weeks before their admission is confirmed by contract. Highbury House DS0000071108.V359980.R02.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 7, 8, 9, 10 The health and personal care which each resident receives is based on detailed person-centred care plans to keep pace with their emerging needs. Residents can feel confident that the principles of respect, dignity and privacy are put into practice. EVIDENCE: Since the last inspection, the manager has completed the preparatory work she was doing to make the care plans more person centred. Each file is prefaced with a pen portrait, detailing key aspects of the resident’s care needs (likes, dislikes and how many staff are required for each task). This document is written in the first person to keep the resident’s perspective central. This document is, in each case, followed through with a Plan of Care, which provides staff with detailed practical instruction and is properly underpinned by daily reports, monitoring charts and assessments (risks, dependency, manual Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 11 handling) and behaviour guidelines thereon. These documents are reviewed monthly to ensure their currency. This is judged a very promising development, and the manager reports that other changes are anticipated, to further improve the care plans. Residents were clearly benefiting from the recent increase in staffing levels introduced by the new provider, and by the training in dementia care half of them have already had (with more in prospect). The home is now in a position where trained staff are present on every shift. Staff were observed giving individuals good levels of individualised attention and there was lots of scope for friendly banter between them. One resident’s refusal to cooperate with personal care was being properly documented and addressed by a care plan review with his funding authority, to establish what options were available to him. As reported at the last inspection, the home uses the Monitored Dosage System for medication. The manager has ensured that staff have access to a copy of the Royal Pharmaceutical Society Guidance on the administration and storage of medication for reference, to safeguard practice. An examination of current medication administration records indicated general compliance with required standards for record keeping. There were no apparent gaps or anomalies. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 12, 14, 15 The home offers some social, cultural and recreational activities to meet residents’ likely interests. Residents benefit from a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: The residents were not able (by reason of dementia) to give any examples of any particular interests and hobbies being promoted by the home. However, records show that, with the help of the residents’ relatives, the scope of the home’s care plans has been extended to include activities most likely to interest them. The last inspection reported that the home had started introducing a “Life History” document for each resident. This is not a required element but was judged a positive step in dementia care as it covers each phase of the residents’ lives (childhood, adolescence, young adulthood, middle age and later years), and could provide a useful tool to help staff interact with them, and to Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 13 keep residents connected with things that have been important to them. The manager reported that this preparatory work has been completed for all residents, and a spot check of records inspected confirmed this. These improvements are judged promising but they will need to be sustained to obtain demonstrably good outcomes. The challenge will now be to pursue emerging interests and issues with the same level of practical staff instruction already being applied to health and personal care and to actively engage relatives in this process. The manager is intending to contact an Alzheimer’s Group for advice and ideas on activities. At the last inspection only a few examples of activities were available to report on: drawing or colouring, listening to music, keep fit sessions, dancing, and board games. There was no activities co-ordinator and most residents were observed left together for sections of the day in small groups, without any stimulation (other than a TV or radio left on) or interactions with staff, except in passing. On this occasion, however, although the range of activities reported was not much greater, the atmosphere in the home was very positive. The residents were clearly benefiting from the ready availability of more staff and were at one stage observed singing, dancing and talking with staff and with each other, albeit with limited understanding. The manager reported that “village” therapies such as aromatherapy are being introduced as from January 2008, along with regular monthly entertainment. Staff have been sitting with the residents for craft sessions (making cards and festive table ornaments), and exercise / keep fit sessions will continue. Records indicated that one resident, selected for case tracking, could often be coaxed into playing ball games even though he was otherwise not cooperative. Menu planning is undertaken on a 4-weekly basis, but one of the two chefs reports having access to a greater range of better quality produce to work with than was previously reported on. Both chefs will be undertaking dementia care training to keep abreast of residents’ changing needs and best practice standards. The residents are having a good range of fresh meat, fruit and vegetables, and there is a choice. Assistance from staff was sensitively given. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 16, 17, 18 There is a process for resolving complaints but the home needs to better evidence its application, so that residents and their representatives can have confidence to use it. Residents can feel confident that they will be protected from abuse and have their legal rights protected. EVIDENCE: Although there have been no complaints registered by this home since the previous inspection, the inspector judged feedback from one relative could usefully have been pursued as a complaint. The manager was able to show that the matter under complaint had been properly addressed by monitoring, interventions and by convening a care plan review with the relevant funding authority to explore options. At the last inspection, a visit by CROP (Citizens Rights for Older People) had been booked. Although the visit was to some extent frustrated by the level of dementia, some useful feedback was reported back to the manager e.g. on the environment, activities and in respect of one resident’s dietary preferences. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 15 Since the last inspection, a number of staff have been benefiting by access to Kent County Council’s own “Training 4 Care” initiative, which has included training in safeguarding adults, with more in prospect in January 2008. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 16 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 19, 20, 21, 22, 23, 24, 25, 26 The physical design and layout of the home requires reconfiguring, to encourage choice and independence but it is reasonably comfortable and safe. Residents’ best interests are being promoted by an improved level of investment in the property and its maintenance. EVIDENCE: All areas of the home inspected were found to be reasonably comfortable and homely and the home was judged adequately lit and maintained at generally comfortable temperatures. There were no unpleasant odours. Most maintenance checks are in place but the absence of a current electrical installation certificate continues to be of concern, given the last one was a 3year certificate dated April 2002. The inspector was assured that this has been Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 17 scheduled for January 2008 along with portable appliance testing now that new service contracts have been set up. The last inspection raised a number of matters for attention in respect of the accommodation, the site as well as furniture and fittings – and these had been fed back to the manager in detail separately. Since then, an Infection Control Nurse has also inspected provision at the home, and an action plan has been drawn up to address the matters raised by both inspections. Investments had been made, to good effect but investments will need to be sustained. There are detailed plans to reconfigure the home’s layout to provide a treatment area and Quiet Lounge, to relocate the laundry and macerator facilities, and to replace the keys and locks on internal doors with more discreet security arrangements – all of which will improve the working conditions for staff, and accord residents with more dignity. There is a very limited range of equipment and adaptation available in this home. This home was last subject to a detailed assessment by an Occupational Therapist in November 2003, but should be periodically reassessed (ideally by a dementia specialist too), so that the home can demonstrate its capacity to care for the emerging needs of residents diagnosed with dementia. Five bedrooms and some communal facilities were selected for assessment against the National Minimum Standards on this occasion, to complete the inspection carried at the last inspection. They were found to be not fully compliant with the National Minimum Standards. The detail has been reported back to the home’s management separately. The home will need to ensure that the non-provision of particular items usually required by regulation is justified in each case by properly documented consultation or risk assessment. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 18 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 27, 28, 29, 30 The level of investment in staffing levels and staff training and support more properly address the aims of the home and the changing needs of residents. EVIDENCE: The last inspection found that, even though the staffing levels were considered to be in excess of the London Forum formula they did not seem appropriate to the assessed needs of the service users, given the size, and layout of the home. This matter has been addressed by the new provider. A visitor to the home should, more reliably, find the following staff arrangements: • 5 care staff on duty every day (8am-8pm), • Overnight there are 3 waking staff • 2 staff every day to cover cleaning and laundry from 8am-2pm (4 overall to cover the 7 day week) • 2 dedicated cooks to alternate to cover the 7 day week (each does 7-5 or 75.30) Feedback from staff confirmed that they were able to give residents more individualised attention and this appeared to be the case on the day of the inspection. Staff did not appear to be hurried and the residents seemed less Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 19 fretful than was observed at the last inspection. Some were able to join in with some dancing or singing (though not in a sustained way), while others tapped their feet, smiled or clapped their hands. An audit of three personnel files, selected at random, confirmed that there were some gaps in the home’s recruitment processes. But work had clearly been done to reinstate formal supervision and appraisal sessions to comply with the provisions of the National Minimum Standards, as evidence that residents are being protected. At the last inspection, 50 of the staff group were reported to be NVQ2 accredited or above. Since then, a number of staff have also been accessing Kent County Council’s “Training 4 Care” initiative (contract with local colleges to provide mandatory training) to good effect. Dementia care training has been featuring in training opportunities for six care staff, so that every shift now has at least one member of staff trained in dementia care. The manager reports that more dementia training is planned e.g. for catering and ancillary staff. The combined effect of all the recent investment is that staff practice does not run the risk of becoming too variable and can aspire to best practice standards. The challenge will be to obtain NVQ accreditation overall, and to sustain a rolling programme of training. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 20 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 31, 32, 33, 36, 38 The care of residents is enhanced because the manager is suitably qualified and competent and her management and administration of the home is based on openness and respect. The introduction of CROP (Citizens Rights for Older People) is an indicator that the manager intends to place the views of residents and their relatives at the centre of the home’s operation. The new proprietor has demonstrated a sound awareness of his responsibilities regarding Standards, Regulations and Requirements, which means residents’ best interests are being safeguarded and promoted. EVIDENCE: Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 21 As reported at the last inspection, the current manager, Mrs Newell, has worked in the care sector for several years. She has NVQ Level 4 accreditation as well as the Registered Managers’ Award and an NVQ Level 2 in dementia care. Her application for registration will be assessed by the Commission in January 2008. Following the last inspection the home had submitted an Improvement Plan and since that time the manager had been addressing the issues identified in the previous inspection report. Consequently, a number of improvements were evident on this site visit, with more in prospect. Investments in staff training and supervision have improved, and, with the prospect of input from an Alzheimer’s Group, the home’s registration in dementia specialism should become more self-evident. Over the past year, the property has been subject to a detailed assessment against the National Minimum Standards by the Commission, and an Infection Control Nurse has also inspected provision at the home – both of which have generated detailed action plans to improve provision. The manager has also instigated quarterly health and safety audit of her own, to maintain standards. Most property maintenance records seen were up to date and adequately maintained. But the electrical installation certificate was still outstanding. A representative from CROP has tried to engage with residents, and although her efforts were frustrated to some extent by the level of dementia, some useful findings were reported back to the manager for action. This will be built on by other quality assurance feedback exercises. Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 22 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 2 3 X 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 2 13 X 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 2 2 2 2 2 2 2 2 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X 3 X 2 Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 23 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 Standard OP19 Regulation 16 & 23 Requirement Programme of routine maintenance and renewal of the fabric and decoration of the premises to be continued. Ongoing Systems in place to control the spread of infection must be in accordance with relevant legislation and published professional guidance. Ensure a safe system of transport between the laundry and the main building. 3. OP30 18 Ongoing All staff must complete a basic dementia awareness course within their first six months of working at the home. Care staff to undertake a more in-depth dementia care training course, to be identified according to their qualifications and previous experience. Senior care staff to complete an advanced dementia care training Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 24 Timescale for action 31/08/08 2. OP26 13(3) 16(2)(k) 31/03/08 31/01/08 programme. 4. OP12 16(2)(n) Ongoing Sufficient meaningful activities to 31/08/08 be provided suitable for residents with dementia. Programme of activities to be arranged having regard to the needs of residents. Ongoing 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 OP20 Good Practice Recommendations To review the use of communal space and consider providing additional space within the home’s annual improvement plan. Ongoing The activities programme to be further developed to take account of the specialised needs of residents with dementia. Activities coordinator to undertake further training relevant to the provision of specialised activities for people with dementia. Ongoing That the home’s electrical installation should be reinspected and tested within the three years specified in the electrical certificate dated 22/04/02. The home could usefully include in its admission procedure a checklist to certify the issue of a Statement of Purpose, Service User Guide; and whether other languages or formats were warranted. 2. OP12 3. OP38 4. OP1 Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Highbury House DS0000071108.V359980.R02.S.doc Version 5.2 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!