Inspection on 02/10/07 for Morovahview Residential Home

This inspection was carried out on 2nd October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Morovahview Residential Home 28/03/08

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 Morovahview Residential Home 1 Bar View Lane Hayle Cornwall TR27 4AJ Lead Inspector Kerensa Livingstone Key Unannounced Inspection 2nd October 2007 10:00 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 Morovahview Residential Home DS0000069602.V345273.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. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morovahview Residential Home Address 1 Bar View Lane Hayle Cornwall TR27 4AJ 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) 01209 843276 Mr Philip John Jefferies Mrs Caroline Anne Jefferies Mr Philip John Jefferies Care Home 16 Category(ies) of Dementia (3), Mental disorder, excluding registration, with number learning disability or dementia (3), Old age, not of places falling within any other category (16) Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service: Care Home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE - maximum 3 places Mental disorder, excluding learning disability or dementia - Code MD maximum of 3 places The maximum number of service users who can be accommodated is 16. 14/09/06 2. Date of last inspection Brief Description of the Service: Morovahview is a large detached dormer style bungalow that has been adapted and extended to provide residential accommodation for up to a maximum of sixteen people. There is a chair lift up from the ground to the first floor. The home offers both long term and respite care to older persons three of who may suffer from a dementia or mental illness. The home has good access all round the premises and ample car parking space. The home is located up a quiet lane yet is close to all the amenities offered in Hayle. Residents and relatives are positive about the care provided. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Since the 30th of April this service has new owners Mr and Mrs Jefferies who have previous experience of running a care home for six years. This was a planned unannounced key inspection that was undertaken by one inspector over one day. The inspector looked at records, care documentation, Policies and Procedures and inspected the environment. On the day of the inspection there were twelve residents at the home. The inspector met the residents, staff and relatives. The registered persons were not on duty on the day of the inspection. A senior staff member who has worked in the home for many years assisted fully during the day. An Annual Quality Assurance Assessment (AQAA)) was completed by the Registered Provider prior to the inspection and clearly identified the amount of work that is planned. Questionnaires for relatives and service users were made available and returned prior to the inspection as part of the inspection process. The residents, service users and staff were consulted about the services and facilities provided. Observation and case tracking were used during the inspection. The current fees for the home are £325-£350. What the service does well: What has improved since the last inspection? A large cupboard and a drugs trolley for the safe storage of medicines have been purchased since the last inspection. The inspector was informed that staff that administer medicines had received training on the monitored dosage system, which has been introduced since the last inspection. One assisted bathroom has been redecorated since the last inspection. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 6 What they could do better: Individuals are not being given written information prior to moving into the home. Contracts must include the terms and conditions. People are moving into the home without their needs being fully assessed. Handwritten medication administration records (MAR) are not checked and signed by a second person. There is no designated fridge for the storage of medicines. Temazepam is stored in the blister packs and kept in a single lockable facility. One signature was observed on the MAR sheets and no record of the number of tablets left. The drugs reference book is dated 2001, this should be updated. A plan of care is not being drawn up with the resident or representative, reviewed regularly or based upon a thorough assessment. It is recommended that a portable phone to be provided to enable residents to conduct a call privately. Social activities and entertainment in the home do not meet the individual or collective needs of the residents. There is limited opportunity for the staff to provide one to one time or group time with residents due to their generic roles and only two staff being on duty. The residents like the meals offered, however there is not a clear choice of meals. Personal choices and preferred routines are not included in individual records. The Policies and Procedures relating to complaints and the protection of vulnerable adults do not clearly state the actions required. All staff must have training in the Protection of Vulnerable Adults. There are areas of the home that require redecoration, the Providers are committed to making improvements to the home and this work has commenced. Most rooms do not have a lockable space. There are environmental risks in the home that have not been assessed or removed to provide a safe environment to the people living and working there. Equipment and services to home must be serviced as required. The recruitment procedures in the home are not robust. Staff have not been provided with the core and specialist training that they require. There is no training and development programme for staff. The managerial, training and administrative aspects of the home require prioritising to ensure the health and safety of residents and staff. Morovahview Residential Home DS0000069602.V345273.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. The summary of this inspection report can be made available in other formats on request. Morovahview Residential Home DS0000069602.V345273.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 Morovahview Residential Home DS0000069602.V345273.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Individuals are not being given written information prior to moving into the home. Contracts must include the terms and conditions. People are moving into the home without their needs being fully assessed. The statement of purpose must be available in the home. EVIDENCE: There is no written Service user’s Guide including the required information to enable people to make an informed choice. The Statement of Purpose was submitted as part of the application process, however a copy was not available on the day of the inspection. A statement of terms and conditions is provided to each service users. This does not include the individual’s room number or the breakdown of fees. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 10 A full assessment of needs is not undertaken for all new service users. The information gathered was often very brief. A suitably qualified person gathers this information. Intermediate care is not provided in this home, therefore this standard is not applicable. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 11 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 & 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. A plan of care is not being drawn up with the resident or representative, reviewed regularly or based upon a thorough assessment. Further action is required to ensure the safe handling and administration of medicines. Residents feel they are treated with respect and their privacy needs are acknowledged. It is not possible to conduct a private telephone call. EVIDENCE: The service user’s plan of care identifies the needs, they do not inform and direct staff as to how these needs are to be met. There was no evidence to suggest that some of the care plans had been reviewed at least monthly or of any resident or representative involvement. Relatives report that the staff keep them up to date with how their family member is. A daily record is kept. New documentation is being introduced using assessment tools for nutritional screening, Tullamore Falls risk assessment, moving and handling assessments, personal profile and life history. Continence assessments were not in use. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 12 Information was very limited for one resident. The inspector was informed that dentist and optical needs to be reviewed to ensure that residents needs are met, there is no formal arrangement to provide these services at the present time. The inspector was informed that staff that administer medicines had received training on the monitored dosage system, which has been introduced since the last inspection. The drugs reference book is dated 2001, this should be updated. A large cupboard and a drugs trolley for the safe storage of medicines have been purchased since the last inspection. The Pharmacist was due to visit later in the week to look at the storage of medicines. Handwritten medication administration records (MAR) are not checked and signed by a second person. There is no designated fridge for the storage of medicines. Temazepam is stored in the blister packs and kept in a single lockable facility. One signature was observed on the MAR sheets and no record of the number of tablets left. The residents were very positive about the care and support that they are provided with. It is evident that meaningful relationships have been established. Residents stated they are able to direct their own care and were always treated in a dignified and respectful manner. There is no portable phone for residents to take a call privately, they have to travel to the kitchen and ‘no private conversation can take place’. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social activities and entertainment in the home do not meet the individual or collective needs of the residents. The residents like the meals offered, however there is not a clear choice of meals. Personal choices and preferred routines are not included in individual records. The residents enjoy the lifestyle that is offered at Morovahview. EVIDENCE: Residents said the lifestyle at the home was flexible and they are able to decide upon their individual routines of daily living. Several relatives and service users commented that social activities and entertainment could be improved. The inspector was informed that last month there was a person playing an organ. No records are kept of social activities and who participates in the home. One person commented ‘a programme of recreational activities would help to improve the facilities provided’. Residents are able to maintain links with family, friends and representatives at the care home. Relatives and visitors stated they were always warmly Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 14 welcomed and well look after. The hairdresser visits weekly. There are no regular visits from the clergy. No preferred routines or choices were recorded for individuals in the records inspected. Residents have their personal possessions in their rooms. Information about accessing personal records and advocates should be included in the Service user’s guide. Residents were positive about the food. There is a comfortable dining room. Lunchtime was observed to be a relaxing, unhurried and sociable event. There is a set menu at lunchtime, staff offer an alternative if they know someone does not like what is available. On the day of the inspection it was stew with leeks, carrots, parsnips, onions and potatoes followed by mousse. Individuals chose to have a hot or cold drink with their meal. One person stated there is ‘a choice if you don’t wish to take the usual meal’. The care staff prepare the meals and no food records are kept. Another person suggested employing a cook to allow the care staff more time. Morovahview Residential Home DS0000069602.V345273.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 & 18 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Service users are confident that their concerns would be acted upon. The Policies and Procedures relating to complaints and the protection of vulnerable adults do not clearly state the actions required. All staff must have training in the Protection of Vulnerable Adults. EVIDENCE: The Commission for Social Care Inspection has not received any complaints regarding this service. There is no complaints log. A clear complaints procedure is required including the contact details for the Commission for Social Care Inspection and the Department of Adult Social Care. The registered persons have identified that this information needs to be provided to residents and their families. Relatives are confident that their concerns would be acted upon. There is information relating to whistleblowing and the protection of vulnerable adults. A clear procedure informing staff of the action to take in the event of an allegation is required. All staff should be provided with training. Morovahview Residential Home DS0000069602.V345273.R01.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): 19, 20, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The accommodation provided is comfortable and homely. There are areas of the home that require redecoration, the Providers are committed to making improvements to the home and this work has commenced. There are environmental risks in the home that have not been assessed or removed to provide a safe environment to the people living and working there. EVIDENCE: The home is located in a quiet part of Hayle away from traffic, residents like the setting of the home. The new owners have identified a significant amount of redecoration that they plan to do. A programme of redecoration and planned works is needed. The residents describe the facilities as homely and comfortable. The communal space is located on the ground floor and comprises a lounge at the front of the home, a dining room and conservatory at the rear. The front door was observed to be locked on the day of the inspection. There is a car park at the front of the home. One relative commented that the home Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 17 owners have only just taken over and were working to improve the physical environment. The bedrooms are located on the first and ground floor, many were observed to have been personalised by the occupants. All sixteen bedrooms have a wash hand basin. There are several bathrooms and toilets distributed throughout the care home that are within a reasonable distance of the communal areas and resident’s bedrooms. One assisted bathroom has been redecorated since the last inspection. Lockable spaces are provided in one room, these are being provided as each room is redecorated. The home aims to provide care for as long as a person requires it and the registered persons plan to review the equipment available to do this. There are divan type beds whose height cannot be altered. The windows are not restricted, hot water is not regulated and all hot surfaces are not regulated. There is a steep stairs to the rear of the home with a gate, which can be easily unlocked. Environmental risks within the home must be assessed and advice sought from the Environmental health officer (health and safety). Rooms have adequate natural light and ventilation. Generally there is a good standard of cleanliness, although there were areas which required dusting or cleaning. There are no designated housekeeping staff, care staff undertake generic roles within the home. The residents said that good standards were maintained at all times. One person stated ‘the staff always keen to make sure the home is clean at all times’. Bathrooms were observed to lack liquid soap and paper hand towels. There are no sluice facilities in the home. There is a laundry area next to the kitchen. Morovahview Residential Home DS0000069602.V345273.R01.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): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment procedures in the home are not robust. Staff have not been provided with the core and specialist training that they require. There is no training and development programme for staff. Residents and their families speak highly of the staff and the care that they provide. EVIDENCE: On the day there were three staff on duty including a new member of staff who was supernumerary, there were twelve residents and one person attending for day care. Generally there are two staff on duty at all times, staff have generic roles undertaking cleaning, catering, caring and laundry. One person commented that staff did not time to do activities or talk with the residents as they had so many other jobs to do. Another person commented that some routines within the home were due to the number of staff available at peak times. All staff working in the care home must be recorded on the rota including the Registered Manager. At night there are two staff on duty, one is awake and one is sleeping. One relative commented is seems as if they really care about my relative. A minimum of 50 of care staff should be trained in National Vocational Qualification Level 2 or above. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 19 All staff must be subject to a robust recruitment procedure to safeguard residents, these records must be held in the home. One set of records were not available for inspection. In the files inspected some staff did not have an enhanced Criminal Records Bureau check. Staff are not currently provided with a copy of the General Social Care Council booklet. Skills for care induction booklets are provided to new staff, there was no evidence that this training is organised and completed within the required timescales. Generally training within the home has been poor. The inspector was informed that staff need all aspects of core and role specific training. Staff commented that they liked working at the home. Morovahview Residential Home DS0000069602.V345273.R01.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): 31, 33, 35 & 38 in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The registered persons are keen to make changes and improve the facilities offered to residents, their visitors and staff. The managerial, training and administrative aspects of the home require prioritising to ensure the health and safety of residents and staff. EVIDENCE: Mr. and Mrs. Jefferies bought the home in April this year. Mr Jefferies is the Registered Manager and a Registered Nurse who has achieved the Diploma in Management (NVQ Level 4) from the University of Plymouth. He currently works in the casualty department at West Cornwall Hospital. He and Mrs Jefferies have sixteen years of experience in providing residential care for the elderly. Mrs Jefferies qualified as a State Enrolled Nurse & later as a Registered Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 21 Nurse for the Mentally Handicapped, but is not currently registered. Mr and Mrs Jefferies were not on duty on the day of the unannounced inspection. No self-monitoring or formal feedback has been sought since the last inspection. Views of family, residents and stakeholders must be sought as part of the annual development plan. The results of service users surveys must be made available. The policies and procedures are not reflected in practice and personalised to the home, for example the oxygen procedure states ideally it will be kept outside. Residents are encouraged to maintain their independence financially for as long as they wish. Personal monies are held, these are only accessible when the Providers or senior carer is on duty. A record is kept of incomings, outgoings and a balance. There is a safe for the storage of valuables, these items are not currently receipted and must be. There is no evidence that internal auditing takes place. On the day of the inspection there was no visitor’s book. Accidents are recorded in an Accident book, however the pages are left in the book, this does not comply with data protection legislation. All personnel records were not found at the home and one record was noted to be incomplete. A fire risk assessment has been completed. The inspector was informed that staff required training in moving and handling, food hygiene, first aid, infection control, health and safety and fire. As previously mentioned in Standard 25 there are environmental issues which require risk assessment and management e.g. hot water, unrestricted windows. Some cleaning substances were observed in the bathrooms and were unlabeled. Three oxygen cylinders were observed to be left at the bottom of the stairs at the front entrance of the home. Servicing of equipment and services to the home must be maintained to ensure the health and safety of service users and staff. One hoist needed to be serviced in April 2007. Morovahview Residential Home DS0000069602.V345273.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 2 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 3 X X X X 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 X 2 X 3 X 2 1 Morovahview Residential Home DS0000069602.V345273.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. Standard OP1 Regulation 4, Sch 1 Timescale for action The registered person shall make 01/02/08 a copy of the statement of purpose available on request for inspection by every service user and/or their representative. The registered person shall 01/02/08 produce a written guide to the care home including the required information, this must be provided to all current and prospective service users. The registered person shall not 01/12/07 provide accommodation to a service user at the care home unless the needs of the service users have been assessed. The registered person shall after 01/12/07 consultation with the service user prepare a written plan as to how the health and welfare needs are to be met. This shall be made available to the service user and kept under review. The registered person shall 01/02/08 consult with service users about a programme of activities and provide facilities for recreation. Requirement 2. OP1 5 3. OP3 14 4. OP7 15 5. OP12 16 Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 24 6. OP15 17 sch.4 7. OP16 22 8. OP18 13(6) 9. OP25 13(4) 10. OP27 17(2) Sch.4 11. OP28 18 12. OP33 24 13. OP37 17, Sch. 2, 3&4 The registered person shall keep records of food provided for service users in sufficient detail to enable any person to determine whether the diet is satisfactory, in relation to nutrition and otherwise. The registered person shall establish a procedure detailing the stages and timescales for managing complaints. This must include contact details for Department of Adult Social Care and CSCI, a copy must be given to each resident. A record must be kept of all complaints. The registered person shall by training staff and having clear procedures prevent service users being placed at risk of abuse. The registered person shall ensure that unnecessary risks to health or safety of service users are identified and so far as possible eliminated. The registered person must keep a copy of the duty roster of all persons working at the care home and a record of whether he roster was worked. The registered person shall ensure that the persons employed receive training appropriate to the work they are to perform. Reliable quality assurance measures and arrangements must be in place to annually audit the services and facilities provided and produce a written report of the findings for interested parties. Previous timescales not met. The registered person shall keep the records specified in Schedules 2,3 & 4 in the care home. They must be kept up to date and available for inspection. DS0000069602.V345273.R01.S.doc 01/12/07 01/12/07 01/12/07 01/02/08 01/12/07 01/02/08 01/02/08 01/12/07 Morovahview Residential Home Version 5.2 Page 25 14. OP38 23(4) The registered person shall make 01/12/07 arrangements for staff to receive suitable training in fire prevention. Previous timescales not met. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP2 OP8 OP9 OP9 OP9 Good Practice Recommendations For the home’s contract to include the individual’s room number and a breakdown of fees including who is responsible for paying them. For the arrangements for service users to receive dental and optical care to be formalised. For there to be a designated fridge for medicines. For all staff to be provided with safe handling of medicines training should be provided to all staff. For medicines such as Temazepam are recorded in the Controlled Drugs register and stored as controlled drugs. In the absence of this double signatures and a running total of the tablets to be recorded is recommended. For handwritten Medication administration records to be checked and countersigned by two suitably qualified persons. For a portable phone to be provided to enable residents to conduct a telephone call privately. For residents choices and preferred routines to be recorded. For residents to be offered a clear choice of main course and pudding at each meal. To audit hand washing facilities, the provision of liquid soap and hand towels. Each staff member should be provided with an annual individualised training plan. An annual staff training and development plan should be put in place. For Oxygen to be stored appropriately with correct labelling and liquids to be used with correct labelling, in adherence with health and safety legislation. 6. 7. 8. 9. 10. 11. 12. 13. OP9 OP10 OP12 OP15 OP26 OP30 OP30 OP38 Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 26 14. OP38 First aid qualifications held by staff should be updated on a regular basis. Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Morovahview Residential Home DS0000069602.V345273.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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