Inspection on 11/12/07 for Moriah House Care Home

This inspection was carried out on 11th December 2007.

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

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

Other inspections for this house

Moriah House Care Home 26/07/06

Moriah House Care Home 18/01/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Moriah House Care Home Deep Furrow Avenue Carlton Nottingham NG4 1RS Lead Inspector Karmon Hawley Unannounced Inspection 10:00 11 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 Moriah House Care Home DS0000064718.V340921.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. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moriah House Care Home Address Deep Furrow Avenue Carlton Nottingham NG4 1RS 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) 0115 911 0078 0115 911 0028 susan.broddel@btinternet.com Moriah House Limited Mrs Susan Elizabeth Victoria Broddel Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2006 Brief Description of the Service: Moriah House is a care home for older persons, providing accommodation and personal care for up to thirty-nine service users. The home is situated in Carlton, close to shops and local amenities. Accommodation is on two floors, the upper floor accessed by shaft lift, stair lift or stairs. There are five lounges available to residents and a large conservatory. Dining space is included in these areas. There are twenty-five single rooms and seven shared rooms in the home. Some rooms offer ensuite facilities. There is patio area to the front of the home with seating available. Car parking is available at the rear of the property. The services certificate was observed, this remains current in regard to the services on offer. The current weekly fee range from £330 - £390 these do not include the cost of hairdressing or chiropody. This information is made available on the point of enquiry; the services current inspection report is available in the reception area. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took into account previous information held by the Commission for Social Care Inspection, including previous inspection reports, the service history and records of any incidents that had been notified to the CSCI since the last inspection. The site visit consisted of a method called ‘case tracking’, which involves identifying individual service users who live at the home, and tracking the experience of the care and support they have received during the time they have lived there. This enables a judgement to be made about the outcomes for people living in the home. The inspector also spent time with staff and service users talking with them and observing the interaction and support staff offered service users. Five relatives were also spoken with who gave feed back about their experiences. General records maintained by the home were also looked at to ensure these were maintained and provided positive outcomes for service users. What the service does well: What has improved since the last inspection? To ensure service users are protected, medication policies and practices have made improvement and staff have attended an accredited course in medication practices. Three bathrooms have been renovated and the radiator guards have been reinstalled to ensure comfort and safety for service users. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 6 The service continues to complete its quality assurance programme to ensure that the home is run in the best interest of service users. 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. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are assured that their needs will be assessed and that staff can meet their needs before they make a decision to move into the home. The service does not offer intermediate care. EVIDENCE: The manager visits prospective service users in the community prior to admission to carry out an assessment, to ensure that staff can meet their needs. If the manager is not able to do this as an emergency admission is required, then she will ensure that she has all the necessary information she needs from the social worker, to check that staff are able to meet the service users needs before a decision to move in is made. There was evidence of the preadmission assessment taking place within service users plans of care. Staff spoken with were able to discuss the process and how they are informed of new service users needs, they stated that it is ensured that all necessary equipment is obtained before anyone moves into the home. One service user Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 9 and two relatives were spoken with who said that staff had been very helpful and accommodating when they had moved into the home, to ensure that they were comfortable and safe. Another service user discussed how they manager had come to see them before they moved in which made them feel better about coming to live in the home. The service does not offer intermediate care. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although staff spoken with were able to discuss service users needs and how they manage risk, potentially service users needs may not be fully met and they remain at a degree of risk due to the lack of documentary evidence. Service users are supported to meet their health and personal care needs. Service users are assured that staff will treat them respectfully at all times. Service users are assured that staff will treat them respectfully at all times. EVIDENCE: Service users undergo various assessments such as manual handling, the activites of daily living and mental health care needs. Plans of care were written in the first person making them more personalised. Important relationships and significant events that have happened in their lives were also highlighted so they service users are supported appropriately. Although plans of care were personalised these only contained basic information in regard to the support staff were to offer service users in meeting their needs. For instance where a catheter (a tube that goes into the bladder to help someone pass urine) was in use, there was no information about how staff were to offer personal hygiene care and the observations they need to make to ensure that Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 11 the person is protected from infection. Also in regard to diabetes mellitus there was no specific plan of care in place or information about the specialist foot and nail care they may require. Although risk assessments were in place for the majority of highlighted risks, again the information was brief and these did not cover highlighted risks such as diabetes mellitus and the risk of entrapment when using bedrails, which potentially leaves a person at risk. On speaking with staff they were able to discuss the care and support that service users required and they were aware of the risk one may be at if they have diabetes mellitus and the risk of entrapment when using bedrails. Service users spoken with all stated that they felt that their needs were met and they were supported appropriately. As there were no apparent negative outcomes for service users this evidence has been utilised within standard 37. There was evidence within service users plans of care to show that they have access to specialist services such as the doctor, district nurse, optician and dentist. The manger said that good relations are maintained with the district nurses and they regularly come into the home to assess service users for equipment they may need, there was evidence of these assessments taking place within the plans of care. There was evidence of relevant equipment being available such as specialist cushions and mattresses during the tour of the home. Two service users spoken with said that they could see the doctor if they needed to. The medication procedures were observed, the two requirements set at the previous inspection in regard to recording and administering medication had been complied with. Staff spoken with were able to discuss the changes in their practices in regard to this such as ensuring that service users who require assistance taking medication are offered their medication on a spoon. The medication records observed corresponded with the prescription. There were two incidents were hand written entries had not been signed by two members of staff to show that these had been checked as correct, they did however matched the prescription. Staff have now received accredited training in medication administration. One service user spoken with said that staff give them their tablets, they were pleased about this as they did not have to worry about when to take them. Within plans of care there was reference to ensuring that service users privacy and dignity are maintained at all times. Service users spoken with said that staff were always respectful, and they felt that they treated them in the right way. One service user said that they shared a room, but staff always ensured that the curtain is pulled across. Staff were able to discuss how they ensure they maintain dignity by knocking on doors and ensuring service users doors were shut when they are helping them with personal care. Moriah House Care Home DS0000064718.V340921.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled to live a life of their choosing in relaxed environment where their friends and family are welcomed. Service users are enabled to make their own choices and decisions in their daily lives. EVIDENCE: On arriving at the home several service users were in the conservatory being assisted by staff to make Christmas hats, other service users were either occupying themselves or watching the television. One service user who had joined in the hat making session said that they had enjoyed it and they were proud of their hat. In the afternoon an outside entertainer was visiting the home and one service user spoken with said that they were looking forward to a singsong. All service users spoken with said that the routines of the home were flexible and they could spend their time as they wish. This was observed throughout the day. Activites such as bingo, arts and crafts, reminiscence and games are offered on a daily basis should service users wish to join in, one service user confirmed this but said they often just sat and watched. There were also various books, magazines and games around that service users had access to if they wished. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 13 One relative spoken with discussed the recent trip service users had been on to the Herod Centre and said that they often go to the local public house. Staff were observed to interact positively and support service users in an appropriate manner ensuring that they received the help they needed. In the main lounge we viewed personal photographs belonging to one resident, these photographs were of family members on the wall near her chair. They stated that they did not see their relatives very often however the staff helped them to keep in touch with them and they were always there for company. A church service is held in the home on a monthly basis should service users wish to continue practicing their faith. Service users and relatives made the following comments: “it is lovely here, home from home,” “ we are very trusting of the staff they have been very accommodating,” “the atmosphere here is very nice,” “ I am very happy and settled, the staff are very kind and caring,” and “my relative is well looked after, it is nice that we can just make a cup of tea when we want.” The home has a welcoming and friendly atmosphere, which was witnessed at the inspection. It is a family orientated home and relatives and visitors were seen to relax with their loved ones in an easy manner. One relative said that they are always made welcome and felt that they were involved in their relative’s care, which was important to them. All service users spoken with confirmed that visitors were always welcome and they could visit at any time. Service users personal preferences were noted within the plan of care, service users spoken with said that staff were accommodating and looked after them in the way in which they preferred. Staff spoken with were able to discuss service users needs. Service users may lock their bedroom doors if they want so that they can control who goes in and out of it. Staff were able to discuss how they ensure that each person is treated as an individual and enabled to maintain relationships that are important to them, they also discussed how service users would be supported should they wish to carry on an important relationship. Service users rooms were personalised when viewed, one service user spoken with said that they had brought some things in from home with them. Service users are offered a wholesome and appealing diet. The meal on the day of the visit looked appetising and service users spoken with afterwards stated that they had enjoyed this. There was evidence of service users having different meals according to their choices and personal needs. One relative stated that staff were very good as they knew their relatives needs and ensured that they got their supplements. All service users spoken with said that the meals were always very nice, plentiful and choices were offered. One visitor spoken with said that they have lunch at the home once a week with their friend, which they enjoyed. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 14 Service users visitors are able to access the kitchen to make themselves and their relative’s drinks. This offers a homely feel and removes restrictions on waiting for staff to be available to prepare drinks, however on the day of the visit, the kitchen was constantly busy with different people entering. This was discussed with the manager in regards to the Environmental Health Officer and the consideration of infection control and health and safety, she stated that the Environmental Health Officer was aware of this practice and that she though a risk assessment was in place, however this was not observed. Whilst this practice offers flexibility and choices it may pose a risk in regard to health and safety and infection control. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and relevant others are assured that they can approach staff with confidence about any concerns they may have will be resolved. Service users are protected from abuse. EVIDENCE: To ensure that service users know whom to talk with should they have any concerns a complaints procedure is available within the service user guide. This is given to service users when they move into the home. Service users and relatives spoken with all expressed satisfaction with life within the home and care received. They stated that staff were very kind and approachable and they would not hesitate to talk with them if they had any problems. The service had received one complaint since the previous inspection in regards to bruising someone had obtained. There was evidence available to show that this had been dealt with appropriately and resolved. Staff spoken with were able to discuss how they would deal with a complaint should one be received. The majority of staff have received training in safeguarding adults to ensure that they are aware of their roles and responsibilities in ensuring that service users are safeguarded. Staff spoken with were able to discuss what they thought constituted abuse and how they would respond should they suspect that abuse was occurring; they were fully aware of the policies and procedures in place. The service had one incident in regards to a staff members attitude referred to the safeguarding adults team, there was evidence to show that this had been investigated accordingly and was unfounded. Two service users Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 16 spoken with said that they felt safe living in the home because they knew that staff were there for them and looked after them. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable and homely environment, which is well maintained. EVIDENCE: A homely and comfortable environment is maintained. Domestic style furniture is in place and there are various seating areas that service users may access if they wish. The conservatory area is light and pleasant and available at all times for service users and their visitors to use. This area was fully utilised on the day of the visit and was being used by service users carrying out activites with staff and service users entertaining their visitors. Three bathrooms have now been redecorated and refurbished offering service users not only a comfortable environment but also a variety of different aids that they may need, such as a walk in bath. The requirement set at the previous inspection in regard to refitting the radiator guards had been achieved, thus ensuring that service users are protected from scalds. There was evidence of ongoing audits taking place to ensure that maintenance issues are dealt with accordingly. One Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 18 service user spoken with said that they had brought in some of their own things to make them feel more at home. All areas of the home accessed were clean and tidy. One resident said that staff work very hard to keep the house clean and tidy. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by sufficient numbers of staff who are competent and well trained. EVIDENCE: The duty rota observed showed that sufficient staff are on duty to meet service users needs. Staff were observed to be available when service users needed attention and offered support and assistance to service users in a professional and caring manner. Service users and visitors stated that staff were available when needed and they did not have to wait long for help. Staff spoken with confirmed that sufficient staff were available to meet service users needs. Fifteen members of staff have attained the National Vocational Qualification level two in care (a nationally recognised work and theory based qualification) one has a qualification equivalent to this and one member is working towards level 2. One person has attained level 3. This ensures that staff have attained knowledge and skills in caring for the client group. The domestic staff have also attained recognised qualifications related to their duties. To ensure that all new staff are aware of their roles, responsibilities and the policies and procedures of the home they undergo an induction. There was evidence of new staff commencing on an induction programme within personal files. Two members of staff spoken with confirmed that inductions take place. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 20 Four staff files were observed to see if they contained all the necessary documentation required by law to ensure that service users are protected from unsuitable people. All files contained evidence of a Criminal Record Bureau check (a police check to see if an individual has a police caution or conviction), an application form and two references. Each member of staff have an individual training file which showed that they are all completing compulsory training such as fire safety and first aid on a continuing basis. Staff spoken with said that they felt supported by the management in their training and development needs and that training was at a good standard. Two service users spoken with felt that staff were well trained, they said “staff are very good at their job, they have training you know,” and “the staff are very good, they know how to look after me, they are well trained to do it.” All service users spoken with said that they felt that staff were very kind and caring and looked after them well. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home that is well managed and run in their best interest. Service users and relevant others views and opinions are fully considered in the way the home is run. EVIDENCE: The registered manager is registered with CSCI and is deemed fit to run and manage the home. She has completed the Registered Managers Award (a nationally recognised work and theory based qualification), which enables management skills to be enhanced. Staff, service users and relatives all spoke highly of the manager and stated that she was approachable at all times. The home runs a thorough self-auditing programme approved by I.S.O. (an external agency) this covers all areas of the home such as staff training, the services and facilities. The service has to pass an annual audit carried out by Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 22 the agency to remain registered with them. The views of service users are sought at regular meetings, the minutes of the last meeting were observed which showed that issues such as the environment, food and activites had been discussed. One relative spoken with confirmed that regular meeting take place and they had often listened to these. Quality assurance questionnaires are disturbed yearly to families, visiting professional’s service users and staff allowing anonymity. Outcomes from the questionnaires are produced in a report available for viewing by service users and visitors to the home. This report was briefly viewed and contained positive feedback and action that had been taken to resolve any issues. The home publishes a newsletter, which is available to visitors and the service user, this offers up to date information of events happening for the month and also quizzes for service users and relatives to enter. To ensure that service users personal finances are safeguarded, if required these may be held in safe keeping in the manager’s office. Three accounts were checked, all corresponded with the accounting sheet. There were two signatures for all transactions and receipts were available as needed. Staff spoken with said that this money can be accessed at any time should a service user require it. Within plans of care there was documentary evidence of how service users personal finances are handled. Staff regularly undertake supervision sessions with senior staff, during these times their development needs are discussed to ensure they are supported at the correct level to obtain their full potential. There was evidence of these taking place within staff personal files, staff spoken with confirmed that these took place. There were minor concerns in regard to the standard of plans of care and risk assessments as was discussed in standard 7. The lift and hoists maintenance certificates were observed, these showed that they had been serviced as required to ensure that they are in safe working order. The majority of staff have received training in health and safety and they were able to discuss relevant health and safety issues. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 2 3 Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP15 Regulation 23(5) Requirement Liaise with the Environmental Health Officer in regard to the current access arrangements in place for the kitchen. To maintain detailed plans of care and risk assessments in respect of each service user to ensure that their needs are fully met. Timescale for action 26/01/08 2 OP37 17(1,a) 26/01/08 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 OP9 Good Practice Recommendations Handwritten entries are signed by two members of staff to show that these have been checked as correct against the prescription. Moriah House Care Home DS0000064718.V340921.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Moriah House Care Home DS0000064718.V340921.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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