Inspection on 04/10/07 for Mountview Residential Home

This inspection was carried out on 4th October 2007.

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

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

Other inspections for this house

Mountview Residential Home 26/02/07

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Mountview Residential Home Rickmansworth Road Northwood Middlesex HA6 2RD Lead Inspector Mrs Clare Henderson Roe Unannounced Inspection 10:20 4 October 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 Mountview Residential Home DS0000068739.V345472.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. Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mountview Residential Home Address Rickmansworth Road Northwood Middlesex HA6 2RD 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) 01923 824826 Dr Nizar Merali Shiraz Sultan Ali Merali Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. As agreed on 28th February 2006, five named service users with a diagnosis of Dementia can be accommodated within the home. This is approved for as long as there is no deterioration of a service user that affects the well-being of any other person living in the home. The rooms used for service users will revert to the listed categories for the home once the service user no longer resides at the home. The home must advise the CSCI when a service user no longer resides at the home. 26th February 2007 Date of last inspection Brief Description of the Service: Mountview is a residential care home registered for 12 older people. The building is set back from the Rickmansworth Road in Northwood and is within easy reach of the local shopping centre and public transport links. The premises is a large family home that has been extended and converted to a good standard and offers twelve single rooms, 10 of which have en suite facilities. The large communal lounge is at the rear of the property and a section of this is used as a dining area. Meals are served at two tables set out family style. The rest of the lounge is furnished with comfortable seating, with a television area. The lounge overlooks the garden which can be accessed via sliding doors from the lounge. The garden is secluded and attractive. Half of the garden is set out in a patio style with seating and the other half is laid to lawn with shrubs. There is wheelchair access to the garden. At the front of the property there is off road hard standing parking for several vehicles. The fees range from £500 - £550 per week. Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of 9 hours was spent on the inspection process. The Inspector carried out a tour of the home, and service user plans, medication records & management, staff rosters, staff records, financial & administration records and maintenance & servicing records were viewed. 4 residents, 4 staff and 2 visitors were spoken with as part of the inspection process. The pre-inspection Annual Quality Assurance Assessment (AQAA) document completed by the home, plus comment cards from residents and representatives/visitors have also been used to inform this report. What the service does well: What has improved since the last inspection? Comments received reflected that representatives feel that the new owners have enhanced the good standards at the home. There had been an improvement in the menu choices, to reinstate the provision of pork products Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 6 and also to provide more meat options at suppertime. Action had been taken and was ongoing to address water temperatures found to be outside the safe range of close to 43° centigrade. Residents are being weighed monthly and any concerns are referred to the GP and if necessary the Dentist. 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. Mountview Residential Home DS0000068739.V345472.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 Mountview Residential Home DS0000068739.V345472.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective new residents would be fully assessed prior to admission to the home, to ascertain that the home is able to meet their needs. EVIDENCE: Since the new owners took over there have been no new admissions to the home. The M D Homes pre-admission assessment document is comprehensive and copies of any assessments available from Social Services are also obtained to ascertain if the home is able to meet a prospective residents needs. Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 9 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 & 11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service user plans were lacking in personalised detail, plus shortfalls in updating and review of documentation could place residents at risk of not having their needs fully met. Although medications were being generally well managed, shortfalls in recording could place residents at risk. Although staff are caring towards residents, more consideration and discretion is needed to ensure their privacy and dignity is respected at all times. Shortfalls in identifying end of life care needs place residents at risk of not having there needs and wishes fully met. EVIDENCE: 3 service user care plans were viewed during the course of the inspection. Overall these were comprehensive, although some of the information was very general and attention to personalising the information to each resident was needed. Reviews had been carried out every 1-2 months, and the reviews were thorough. The Manager Designate said that she would ensure monthly updates in future. Risk assessments for falls had been completed, however neither these nor the care plans for falls risk had been updated following falls. Entries Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 10 had been made in the daily record and accident forms had been completed. The Manager Designate had been completing a falls matrix in order to identify any trends in falls so that action can be taken to minimise re-occurrence. The need to ensure all documentation is updated following any falls was discussed. Nutritional assessments were in place and monthly weights were being carried out. Where a problem with eating and drinking or weight loss had been identified a referral had been made to the GP and the dentist. Moving and handling assessments had been completed. Pressure sore risk assessments were in place. For one resident with wounds information had not been updated in the service user plan. District Nurse records are kept at the home for any residents receiving input, and the importance of cross-referencing this with the residents own service user plan was discussed. Continence assessments were not seen and the Manager Designate said that these would be completed. There was evidence of input from healthcare professionals to include GP, dentist, chiropodist and optician. The Inspector viewed the medication management for the home. All administration and receipts, to include medications received mid-month, had been signed for. Any unused medications are returned to the dispensing pharmacist for disposal. Liquid medications and medicines supplied in boxes had been dated when opened. Medications are being securely stored at the home. For one controlled drug the stock there was a discrepancy between the stock and the number of tablets listed. On investigation it was clear that this was a recording error. Options to minimise re-occurrence were discussed. For one controlled drug medication, the administration records had not always been signed by two members of staff. Due to storage constraints, the blister packs for medications contain all the medications due at each particular time of day. There is no identification list for the staff and therefore should the GP discontinue a medication, staff would not have a list to identify the particular tablet concerned. The Manager Designate has since informed CSCI that following discussions with the dispensing pharmacist action is being taken to address the situation. Overall staff were seen caring for residents in a gentle manner, however some comments overheard were a little insensitive in respect of residents privacy and dignity. This was discussed with the Manager Designate and the Operations Manager who agreed that supervision of staff and customer care training, to provide staff with a better knowledge of caring for residents sensitively and as individuals, were indicated. Bedrooms are personalised and residents can have their own telephones, plus access to the home telephone. Residents looked well cared for and were dressed to reflect individuality. The service user plans contained no information regarding individual wishes in respect of health deterioration and end of life care. This needs to be discussed in a sensitive manner with residents and their representatives so that their Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 11 wishes are known and can be recorded and respected, with the option to change the information at any point should they so wish. Mountview Residential Home DS0000068739.V345472.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 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activity provision for the home is good, providing a variety of activities and entertainments to meet the residents needs. The home has an open visiting policy, thus encouraging residents to maintain contact with family and friends. Information regarding advocacy services is available, thus ensuring the service users right to independent representation is respected. The food provision in the home is good, offering variety and choice, with resident’s choices being respected. EVIDENCE: The home has an activities programme to provide activities each day. M D Homes employ an activities co-ordinator who arranges activities for each of the M D Homes. The company has transport with wheelchair access and individual or group outings can be arranged. Residents are asked about their hobbies and interests, and it was agreed that the information in the service user plans needs updating to personalise it for each individual (see Standard 7). The home has links with the community to include the local churches and the religious needs of the residents are identified and respected. A rotating dryer is now in the garden for drying clothes naturally when the weather is good, and the Manager Designate said that the residents had commented on this as a Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 13 positive thing and something they remember from their own past. On the afternoon of inspection a quiz was taking place and there was a happy atmosphere with residents and visitors joining in the quiz and chatting together. The home has an open visiting policy and visiting is encouraged. Visitors are made welcome at the home and offered refreshments. Very positive comments were received about the home and the overall improvement in the home. All the residents have a representative with Power of Attorney. The home also has information regarding ‘Care Aware’ advocacy services and can also access Age Concern for input. The kitchen was clean and tidy. A breakfast list was on display and included the wishes of each resident. The home has a 4 week menu and the meals are varied. Following a meeting with residents and their representatives a previous decision to remove pork from the menu in line with M D Homes policy had been reversed as residents at the home enjoy pork. It was noted that a main meal with a pork product, for example a roast or gammon is on the menu each week, plus bacon, ham and sausages are on the menu some evenings. Since the last inspection the evening menus had been reviewed to include more meat products. There is one main option for lunch although alternatives can always be provided. The supper choices are recorded in the diary each day, and choice is respected. There was a good supply of fresh, frozen, dried and tinned foodstuffs available and the residents spoken with expressed their satisfaction with the food. Mountview Residential Home DS0000068739.V345472.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. JUDGEMENT – we looked at outcomes for the following standard(s): 17 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear complaints procedures in place to address any concerns raised by residents and their visitors. There is a robust system in place for the safeguarding of residents from abuse. EVIDENCE: A copy of the complaint procedure was on display in the entrance and copies are contained in the Statement of Purpose and Service User Guide. The home has not received any complaints and deals with any issues raised, however small, promptly. The home has procedures in place for adult protection and also follows the Hillingdon Safeguarding Adults procedures. Staff had received training from the Hillingdon Safeguarding Adults Officer and those spoken with were clear to report any concerns and understood Whistle Blowing policies. Mountview Residential Home DS0000068739.V345472.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well maintained, thus providing a clean, homely and safe environment for residents to live in. Procedures are in place for infection control and these are practiced, thus minimising the risk of infection. EVIDENCE: The Inspector carried out a tour of the home. Overall the home is being well maintained in respect of décor and furnishings. The front of the building had been redecorated. The home has a maintenance programme and the Manager Designate said that various areas had been identified for new carpets and for redecoration. Work has been done to provide ramps at the entrances and exits for the home, to improve wheelchair access. The rear garden is secluded and an area has been prepared so that the residents that enjoy gardening can have their own area of garden to tend. Bedrooms are individual and personalised and the communal sitting/dining room is spacious, bright and homely. A new plasma screen television was in place in the sitting area. The home has a call Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 16 bell system in use in each bedroom. 11 bedrooms have en suite facilities to include toilet and wash hand basin and there are appropriate assisted bath & toilet facilities to meet the residents needs. The Manager Designate has introduced pictures on doors to easily identify facilities such as the toilets for residents with cognitive impairment. The home has a laundry area with 2 washing machines and one tumble dryer. Clear instructions for the laundering of clothes and linen were on display. Separate coloured bins were in use for different items to be laundered, for example any kitchen/mealtime items for laundry are kept separate from other laundry. Red bags are used for any soiled items. Protective clothing to include gloves and aprons are available. Policies and procedures for infection control are in place and are adhered to. Mountview Residential Home DS0000068739.V345472.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is appropriately staffed to ensure that the needs of the service users are met at all times. Systems for vetting and recruitment practices are in place and protect residents. There is evidence of training with more to be undertaken to provide staff with the skills to meet the needs of residents, to include specialist care needs. EVIDENCE: The home has 2 care staff on duty throughout the day and one waking carer and one sleep-in carer at night. In addition the Manager Designate is on duty 5 days per week and works as part of the team, and staff spoken with confirmed this. The staff are responsible for preparing meals and for cleaning the home, however if the home is short staffed additional cleaning and catering staff plus carer cover can be provided by other M D Homes in the area, plus the company has bank staff who can work between the 5 homes. 3 of the care staff are qualified to NVQ level 2 in care and 2 are undertaking NVQ level 3 in care. NVQ training is also being arranged for other staff. Over 50 of the care staff are qualified to NVQ level 2 in care. Three sets of staff records were viewed and these contained the information required by the Care Home Regulations 2001. No new staff had been employed Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 18 since M D Homes have taken over the home, and should this happen the M D Homes employment documentation, which is comprehensive, would be used. No new staff had been employed under M D Homes. The company does have an induction programme that is based on the Skills for Care common induction standards and this would be used for any new staff employed. Staff had not all had training in dementia care, and the home does accommodate some residents living with the experience of dementia. The importance of ensuring all staff undertake training in dementia care was discussed and the Operations Manager said that this and training in other topics relevant to the needs of the residents would be arranged. Mountview Residential Home DS0000068739.V345472.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager Designate has the experience and skills to manage the home effectively, and is to undertake the required management training to enhance her knowledge. Systems for quality assurance are in place, thus providing an ongoing process of review and feedback. Resident’s monies are well managed and securely stored. Staff receive supervision thus providing a forum for individual discussion and reflection on practice. Overall the systems for the management of health and safety throughout the home are good, thus safeguarding residents, staff and visitors. Shortfalls should be easy to address. EVIDENCE: The Manager Designate is a first level registered nurse. She has 26 years of nursing experience to include 3 years of managing a ward for care of the elderly. The Manager Designate is a qualified tutor and has several years Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 20 experience in this field. She has undertaken periodic training relevant to the care of the residents and is to undertake the Registered Managers Award, NVQ level 4 in management. Comment was received that the Manager Designate is approachable and works hard to provide a good standard of care for the residents. Due to the fact the home is not registered to provide nursing, any nursing input required would be carried out by the District Nurse, and the Manager Designate was very clear on this point. The Manager Designate is in the process of submitting her application to CSCI for registration as the Registered Manager for the home. M D Homes have owned the home for 7 months. The Operations Manager said that there are systems in place for quality assurance to include resident and relatives meetings, staff meetings, plus one-to-one meetings with residents, relatives and staff. Issues brought up in meetings are listened to and acted upon. Regulation 26 unannounced visits to the home on behalf of the Responsible Individual are carried out and reports are available. The Operations Manager said that she would be introducing the M D Homes quality assurance programme into the home in the near future. This will include audits such as medications and care planning, to identify any shortfalls for prompt action in the future. The home has clear processes in place for the management of any personal monies held on behalf of residents. The balances and records for monies held were viewed and were up to date and correct. Bingo is charged at £1 per session and this money is won as prizes for the games of bingo. This is all clearly recorded in the income and expenditure book. The provision of small prizes instead of the financial element to the Bingo was discussed, however the Manager Designate and the Operations Manager said that the residents are happy with the present system. Items such as chiropody and hairdressing are billed directly to the person officially responsible for managing each residents’ funds. The Manager Designate has commenced formal supervision with the staff and records of these sessions are kept. This includes areas of practice and good practice information. The Manager Designate said that she would include customer care in these supervision sessions. The Inspector viewed samples of the maintenance and servicing records and those viewed were up to date. An issue with the hot water provision in 2 bedrooms, one of which was vacant, was in the process of being addressed, with new mixer valves being installed. Action is taken to adjust the temperature of the hot water in areas accessible to residents if the reading is too high or too low, to bring it back to close to 43° centigrade. The home had a Health & Safety inspection in November 2006 and this did identify some shortfalls with the risk assessments for the home. There was evidence that risk assessments had been completed in February 2007 and the Operations Manager said that more risk assessments are to be completed and the Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 21 company are aware of the need to address this. Fire drills had been carried out in July and August for day and night staff, and a further drill has been carried out following the inspection. The training records showed that not all staff had undergone moving & handling training updates. The importance of ensuring all staff receive training at the required intervals was discussed. With the exception of the shortfall in training, health & safety was being well managed at the home. Mountview Residential Home DS0000068739.V345472.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 2 8 2 9 2 10 2 11 2 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Mountview Residential Home DS0000068739.V345472.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 OP7 Regulation 13(4) Requirement Risk assessments for falls and all associated documentation must be updated following any falls, in order to minimise the risk of reoccurrence. Care plans must identify the individual needs of each resident and be personalised. Reviews must be carried out monthly and whenever there is a change in the residents condition. Wounds must be identified in the service user plan and the information cross-referenced to the District Nurses records, thus ensuring wounds are being fully managed. All assessments to include continence assessments must be completed, to provide an accurate picture of the residents needs. Medication stock records must be accurate. Two staff must sign for the administration of a controlled drug. Residents must at all times be cared for in a manner that DS0000068739.V345472.R01.S.doc Timescale for action 08/11/07 2. OP7 17 08/11/07 3. OP8 17 08/11/07 4. OP8 17 08/11/07 5. 6. 7. OP9 OP9 OP10 13(2) 13(2) 12(4)(a) 04/10/07 04/10/07 04/10/07 Mountview Residential Home Version 5.2 Page 24 8. OP11 12 9. OP30 18 10. OP38 18(1)(a)& (c ) respects their privacy and dignity. The wishes of residents and their families in respect of end of life care must be discussed and clearly recorded, to ensure these wishes are met. Staff must receive training in dementia care and other topics relevant to the diagnoses of the residents, to provide them with the knowledge to care for the residents needs. Staff should receive training and update training in mandatory subjects that include areas covered by the Health and Safety at Work Act and the principles of care practice. Previous timescale of 15/04/07 not met 08/11/07 01/12/07 08/11/07 - RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Mountview Residential Home DS0000068739.V345472.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Mountview Residential Home DS0000068739.V345472.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!