Inspection on 18/07/06 for Moorlands Residential Home

This inspection was carried out on 18th July 2006.

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

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

Other inspections for this house

Moorlands Residential Home 18/03/09

Moorlands Residential Home 23/09/08

Moorlands Residential Home 14/12/07

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Moorlands Residential Home Moorlands Road Merriott Crewkerne Somerset TA16 5NF Lead Inspector Alison Philpott Unannounced Inspection 18th July 2006 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 Moorlands Residential Home DS0000067237.V303164.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. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorlands Residential Home Address Moorlands Road Merriott Crewkerne Somerset TA16 5NF 01460 74425 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) Darbyshire Care Ltd Mrs Jayne Marie Dadzitis Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16.03.06 Brief Description of the Service: Moorlands is a residential care home for up to 16 older people. The provider is Darbyshire Care Ltd. The manager with day to day responsibility for the home is Mrs Jayne Dadzitis. She leads a small team of staff. The home is situated in the village of Merriott. Local facilities including post office, church and pubs are available in the village. The home has pleasant and comfortably furnished communal areas. Bedrooms are arranged on the ground and first floor of the home. First floor accomodation is accessed by stairs and there are stair and passenger lifts. En-suite WC facilities are provided in all bedrooms. A small number of rooms have en-suite bathing facilities. The home has a pleasant patio area. The attractive garden is accessed by steps. The current fee range is £340 to £490 per week. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The previous inspection took place on 16 March 2006. This unannounced key inspection took place over 7 hours on 18 July 2006. Since the previous inspection, the home has been taken over by a new registered provider, Darbyshire Care Ltd. The provider has made improvements within the home and has development plans in place. Mrs Kirstie Wills, Supervisor was available throughout the inspection. There were fifteen residents living in the home. During the inspection, twelve residents and three members of staff were spoken with. The Inspector viewed the home. There was a comfortable and homely atmosphere. Staff were friendly and were observed being kind and caring toward residents. Records viewed included care plans; risk assessments; health and safety; medication; staff recruitment & training. The Inspector would like to thank the residents and staff for their involvement and participation in the inspection process. As a result of this inspection the home has four requirements and seven recommendations. What the service does well: Care plans contained some good detail and are reviewed regularly. Medication records were fully completed. The home provides a choice of menu. Residents confirmed that the food is good. The home was clean and provides a homely environment with comfortable furnishings. Staff are caring. Staff respect resident’s privacy and were observed promoting independence, offering support and choices to residents. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 6 The home is committed to seeking the views of residents, visitors and staff to ensure that the home is run in the best interests of the residents. What has improved since the last inspection? What they could do better: Information relating to resident’s changing care needs contained within the daily update record should be transferred into the care plan. This will enable staff to clearly identify how to meet the resident’s needs appropriately. The home should arrange a review of the care needs of its current residents and ensure it is able to meet all of the residents needs appropriately. A POVA first check or completed enhanced CRB disclosure must be in place prior to new staff commencing employment at the home to ensure that risks to residents are minimised. The home should introduce a training matrix that provides a clear overview of staff training undertaken. Where a risk is identified, the home must carry out a detailed risk assessment to minimise the risk of harm to residents. There was some hot pipe work that was unguarded. This must be guarded with a cover or access restricted with a lock, to minimise the risk of burning. The fire alarm system must be tested on a weekly basis. Emergency lights must be tested on a monthly basis. Cleaning chemicals must be stored securely to minimise the risk of harm to residents. The home must check and record water temperatures from hot water outlets once a month, to ensure temperatures are close to 43 degrees Celsius, and reduce the risk of scalding. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 7 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. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 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 Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 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): 3, 6. The quality in this outcome area is good. The home ensures that the needs of prospective residents can be met appropriately. EVIDENCE: The inspector viewed a pre-admission assessment for a new resident. This was comprehensive and detailed. When prospective residents are referred through Social Services, a copy of the care plan is obtained. The home encourages prospective residents to visit the home for the day prior to admission, where possible, and move in on a three month trial. If a prospective resident is in hospital, the manager will visit them and undertake an assessment. The manager ensures that prospective resident’s needs can be met appropriately. The home has not introduced intermediate care since the last inspection. Moorlands Residential Home DS0000067237.V303164.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. The quality in this outcome area is adequate. Care plans provide some good detail. needs. Some residents have increasing care Medication records were fully completed. Staff respect resident’s privacy and dignity. EVIDENCE: The Inspector viewed three care plans. These contained some good detail for staff to follow in order to meet resident’s healthcare & social needs. Individual care plans are reviewed monthly and updated where necessary. One care plan viewed contained changes to care needs within the daily update record. The home should ensure that this information is transferred into the care plan, so that staff can clearly identify how to meet the resident’s needs. Risk assessments relating to self medication; wandering; smoking; and cot sides were viewed. One resident had chosen not to wear shoes. This was not Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 11 documented within the care plan. The home should ensure that a detailed risk assessment is undertaken. There was evidence on the day of the inspection that some residents needed to be monitored more closely. Following observations, it is advised that staff should be easily accessible to residents throughout the day. The home should review the care needs of all of its residents and ensure that it can meet each individual’s needs appropriately within the home’s registration. The home should advise the Commission for Social Care Inspection of the findings of the review by 18th September 2006. Residents have access to a range of professionals including GP, District Nurse, CPN, Dentist, Social Worker, Optician and Chiropodist. Medication is stored securely. Resident’s photographs were included with each Medication Administration Record (MAR) Sheet. The MAR sheets were fully completed. The MAR Sheets included the reason for administration of medication. This is good practice. Hand transcribed MAR Sheets contained two signatures and were dated. The home had recorded variable doses of medication, on some occasions. The inspector advised that the home should record variable doses on a separate sheet. The home was not storing any controlled drugs. The inspector viewed some creams in a resident’s bathroom. These were not dated on opening. The home must ensure that creams are dated on opening. The home has a staff signature list to identify the staff who administer medication. Staff spoken with demonstrated a good awareness of how to respect resident’s privacy and dignity. Residents confirmed that their privacy and dignity is respected. Some residents have chosen to have a private telephone line in their bedroom. Moorlands Residential Home DS0000067237.V303164.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality in this outcome area is good. The home has an activities programme. Visitors to the home are made to feel welcome. Residents are happy with the food at the home and the choices available to them. EVIDENCE: The home displays its activities programme on the residents’ notice board. Activities for the month included a matinee; keep fit; sing songs; quizzes; talks and bingo. The home has planned an outing to West Bay on the Monday following this inspection. During the inspection, residents were observed chatting; reading; listening to music and watching television. All residents spoken to confirmed that their visitors are made to feel welcome at the home. The Inspector observed staff offering choices to residents throughout the day. Residents confirmed that they can spend their time as they want to and that Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 13 they are given choices. Resident’s rooms are homely and personalised with their own possessions. Residents can access their personal records on request in accordance with the Data Protection Act 1998. The home has a four week menu. The tables in the dining room were laid attractively for lunch. All residents spoken with confirmed that the food is good and there is always a choice of dishes. The food is home baked and nutritious. One resident commented that “the home made cakes are lovely and the texture is just right”. An alternative menu is available for residents who have special dietary requirements. Moorlands Residential Home DS0000067237.V303164.R01.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The quality in this outcome area is adequate. The home has a complaints procedure. The home’s procedure in relation to Protection of Vulnerable Adults needs to be more robust. EVIDENCE: The home’s complaints procedure is displayed on the residents’ notice board. The home had received one complaint since the previous inspection. This had been dealt with promptly and was clearly documented. Residents confirmed that they knew who to speak to if they had any concerns. The recruitment files viewed for new staff contained a POVA first check. However, one member of staff had commenced employment before the POVA First check was received. Further to discussions, the home is now aware that they must apply for and receive a satisfactory result from a POVA first check before new staff start working within the home. The Supervisor confirmed that staff were supervised whilst awaiting the completed CRB disclosure check. Staff spoken with demonstrated an awareness of the steps to take if they witnessed or discovered abuse. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 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, 26 The quality in this outcome area is adequate. The home provides a homely environment with comfortable furnishings. The home is working towards improving its facilities. Improvements have been made since the last inspection. Some improvements are needed to ensure the home is safe for those who live there. The home was clean. The home has systems in place to control the spread of infection. EVIDENCE: The Inspector viewed the home. The environment is well maintained and homely with comfortable furnishings. The home has two lounges and a dining room. The garden was attractive and well maintained. It is not easily accessible to all residents due to some steps. Outdoor seating areas for all residents are available on the patio next to the garden and at the front of the Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 16 home. It was very warm on the day of the inspection and a parasol was available for residents sitting out at the front of the home. The carpet in the lounge is starting to ripple. This was discussed with the Manager. The carpet should be stretched or replaced to protect residents from the risk of tripping. Since the previous inspection, the provider has upgraded some of the fire exit doors to improve safety. One designated fire exit door was locked. The key was stored away from the door. This could hinder evacuation in the event of a fire. The provider confirmed that due to the position of the door there is not a straightforward solution. The home is currently looking at how to resolve the situation and advice is being sought from contractors and the local fire department. In the meantime, a risk assessment relating to the locked door must be drawn up. The provider is required to advise the Commission for Social Care Inspection of the outcome and action taken. The home was clean throughout. The laundry was tidy. The laundry flooring is broken. This should be replaced as it could harbour bacteria. Aprons and gloves were available for staff. Liquid soap and hand towels were provided. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 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, 30. The quality in this outcome area is adequate. The home has sufficient staff. Staff recruitment procedures need to be more robust. The home is developing its training programme. EVIDENCE: The inspector viewed the rotas. The home employs two care staff in the morning; two care staff in the afternoon; two care staff in the evening and one waking and one sleep in at night. During the inspection, the supervisor; two domestics, the chef and the handyperson were also on duty. Residents confirmed that staff are available when assistance is required. One resident commented “I find the staff very helpful and kind”. New staff had been recruited since the last inspection. Three staff files were viewed. These included most of the required documentation listed in Schedule 2 of the Care Homes Regulations 2001. However, staff files did not contain a contract of employment. The provider advised that these were currently being revised due to the change of ownership of the home. Staff are due to receive new contracts within the next week. This will be followed up at the next inspection. One member of staff had commenced employment prior to their POVA first check being received (see standard 18). A POVA First check or a Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 18 completed enhanced CRB disclosure must be obtained prior to new staff commencing employment. The home has started to use Skills for Care Common Induction Standards for new staff. All staff have recently completed moving and handling training. The home has planned fire training for September 2006. The staff training certificates are contained within individual staff files. Training areas include first aid; food hygiene; safe handling of medicines; positive dementia care; infection control; customer care; and safety. The Supervisor advised that the home is currently developing its training programme. The Inspector recommended that the home introduces a training matrix so that there is a clear overview of completed and planned staff training. 60 of the care staff working at the home hold an NVQ at level 2 or above. The home plans to provide further NVQ training for care staff. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 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, 33, 35, 38. The quality in this outcome area is adequate. The manager has the necessary experience to manage the home. The home has implemented quality assurance systems. Service user’s money is safeguarded with written records. The records kept in the home are well organised. The home has a positive attitude to health and safety. Some improvements are required to protect service users from potential risks. EVIDENCE: Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 20 Mrs Dadzitis is the Registered Manager. She has many years of experience in managing care homes. The manager is supported by a supervisor who was the person in charge during the inspection. Since the last inspection, the home has carried out a survey of residents, visitors, and staff. The completed surveys are still being returned to the home. Once the responses are collated, the home will review the comments and action the points made, where possible. The home has recently introduced residents meetings. A notice on the residents’ notice board confirmed that a residents meeting was to be held the day after the inspection. Residents’ friends and families were also invited to the meeting. Some of the residents advised the inspector that they would be attending the meeting. The home stores small amounts of money for some residents. This is kept securely in the home’s safe. Records were viewed and there was an audit trail for monies spent. Two signatures are obtained for all deposits. One signature is obtained for withdrawals and cash is reconciled each time. The Inspector recommended that it is good practice to obtain two signatures for withdrawals. Two of the residents’ monies were checked. The balances were correct. The home’s health and safety records were viewed. The fire alarm system had not been tested on a weekly basis. It also appeared that the fire points had not been tested in rotation. The home’s six monthly emergency light check was carried out on 30.06.06. The emergency lights have not been tested on a monthly basis. However, the supervisor advised that further to the recent check, this would now commence. The home must ensure that the fire alarm system is tested on a weekly basis and the emergency lights are tested on a monthly basis. The fire alarm system was serviced on 30.06.06. Fire extinguishers were serviced in December 2005. A risk assessment must be undertaken in relation to the locked fire exit door (see Standard 19). The home’s lift was serviced on 03.03.06. The bath hoist was serviced on 24.05.06. Wheelchairs were checked on 24.05.06. The gas safety check was undertaken on 23.01.06. Portable appliance testing was carried out on 31.05.06. The kitchen was clean and tidy. Fridge temperatures are checked and recorded daily. Food stored in the fridge was covered and dated. Bath temperatures are recorded when a resident has a bath. The home should check and record water temperatures from the hot water outlets on a monthly basis, to ensure that water temperatures are close to 43 degrees Celsius, to prevent the risk of scalding. Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 21 Some of the bedroom windows on the first floor of the building were not restricted. Risk assessments relating to this were not available. The home must ensure that it undertakes a detailed risk assessment for the individual residents occupying those bedrooms or provides restrictors on the windows, to minimise the risk of harm to residents. Some bedroom doors were wedged open. If a resident chooses to have their door open, that resident will need to remove the wedge should the fire alarm sound, to prevent the spread of fire. Risk assessments relating to this were not available. The home must provide a detailed risk assessment that includes reference to the resident’s capability to remove the wedge. If a resident is unable to remove the door wedge, the door should be fitted with an automatic closure mechanism. There was some hot pipe work in a cupboard that was accessible. This must be guarded with a cover or access restricted with a lock, to minimise the risk of burning. Control of substances hazardous to health (COSHH) sheets and risk assessments were available for the products used within the home. Two store cupboards containing cleaning chemicals were unlocked. Cleaning chemicals were also available in one of the home’s bathrooms. Chemicals must be stored in locked cupboards in accordance with COSHH regulations 2000, at all times. Moorlands Residential Home DS0000067237.V303164.R01.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 23 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. 2. Standard OP9 OP18 OP29 Regulation 13(2) 12(1)(a) 19(1)(b)(i i) 23(4) Requirement Timescale for action 25/07/06 3. OP19 4. OP38 13(4) 23(4) Prescription creams must be dated on opening. A POVA First check or a 18/07/06 completed enhanced CRB disclosure must be obtained prior to new staff commencing employment. The home must provide a 18/10/06 suitable means of escape at one fire exit. The provider is required to advise the Commission for Social Care Inspection of the outcome and action taken. • The home must ensure 18/08/06 that the fire alarm system is tested on a weekly basis and the emergency lights are tested on a monthly basis (the previous timescale was not met). • A risk assessment must be undertaken in relation to the locked fire exit door. • Hot pipe work must be guarded with a cover or access restricted with a DS0000067237.V303164.R01.S.doc Version 5.2 Moorlands Residential Home Page 24 • • lock. Risk assessments must be undertaken in relation to door wedges and window restrictors. Chemicals must be stored in locked cupboards in accordance with COSHH Regulations 2000. 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 Information relating to resident’s changing care needs contained within the daily update record should be transferred into the care plan. • The home should undertake a risk assessment for the resident that chooses not to wear shoes. The home should arrange a review of the care needs of its current residents and ensure it is able to meet all of the residents needs appropriately. The home should advise the Commission for Social Care Inspection of the findings of the review by 18/09/06. The lounge carpet should be stretched or replaced to protect residents from the risk of tripping. A portable hoist should be provided to assist staff to get people up from the floor after a fall. (This recommendation was made at the previous inspection). The broken laundry flooring should be replaced as it could harbour bacteria. A training matrix should be developed and available to show that all mandatory training has been provided. (This recommendation was made at the previous inspection). Two signatures should be obtained for withdrawals of resident’s monies. • 2. OP8 3. 4. 5. 6. 7. OP19 OP22 OP26 OP30 OP35 Moorlands Residential Home DS0000067237.V303164.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Moorlands Residential Home DS0000067237.V303164.R01.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. 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