Inspection on 27/11/06 for Netherclay House

This inspection was carried out on 27th November 2006.

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

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

Other inspections for this house

Netherclay House 01/07/08

Netherclay House 20/08/07

Netherclay House 22/12/05

Netherclay House 06/07/05

Netherclay House 26/01/05

Netherclay House 08/06/04

Netherclay House 03/02/04

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 Netherclay House Bishops Hull Taunton Somerset TA1 5EE Lead Inspector Alison Philpott Unannounced Inspection 27th November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Netherclay House DS0000016043.V320371.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. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Netherclay House Address Bishops Hull Taunton Somerset TA1 5EE 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) 01823 284127 01823 336765 MR PETER HOWARD WILMOT-ALLISTONE MRS LAURA WILMOT-ALLISTONE Mrs Paulene Coles Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service user under the age of 65 years Rooms 14, 15 and 16 are suitable only for service users who have a degree of physical and mental independence. The Manager must conduct regular assessment and review of service user needs, to ensure that the accommodation and service provided continues to be appropriate. 11/07/06. Date of last inspection Brief Description of the Service: Netherclay House is a Georgian building with modern extensions that has been a residential home since 1972. The Registered Providers at this time are Mr and Mrs Wilmot-Allistone however Mr Patrick Allistone oversees the home on their behalf. Paulene Coles is the Registered Manager. The home is registered with the Commission for Social Care Inspection to provide personal care to up to 42 people over the age of 65 years. The home provides accommodation for up to thirty-seven service users within the main building, and a further five service users within the bungalows set in the grounds. The home provides meals to persons in their own home as part of the providers Domiciliary Care Agency. Day care is also provided for up to two people per day, which is not registered or inspected by CSCI. Netherclay House currently offers day care, respite care and permanent accommodation. The home does not provide nursing care. Netherclay House provides comfortable and spacious accommodation and is set in large gardens that border the River Tone. The current fee range is £400 to £500 per week. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The previous unannounced random inspection took place on 11 July 2006. This unannounced key inspection was carried out by two inspectors over 6 hours on 27 November 2006. Mrs Paulene Coles, Registered Manager was available throughout the inspection. There were thirty nine residents living in the home. During the inspection, eighteen residents and four members of staff were spoken with. The Commission for Social Care Inspection received completed surveys from six residents. The Inspectors viewed the home. There was a comfortable and homely atmosphere. Staff were friendly and were observed being kind and caring toward residents. Records viewed included care plans; risk assessments; accidents; medication; staff recruitment & training; and health & safety. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. The Inspector would like to thank the residents and staff for their involvement and participation in the inspection process. As a result of this inspection the home has one requirement and seven recommendations. What the service does well: Residents were positive and comments included “this is a well run home and wonderful carers”, and “I don’t think I could better this care home”. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 6 Residents benefit from a homely environment and are able to make choices in how they spend their time. Care plans are generally comprehensive and detailed. The plans contain information to enable staff to meet each resident’s healthcare & social needs. Staff are friendly and caring. Staff respect resident’s privacy and were observed offering support and choices to residents. What has improved since the last inspection? What they could do better: The home should review each care plan on a monthly basis to ensure that residents’ current and changing needs are being met appropriately. The home should review its medication policy to ensure it reflects current good practice in line with Royal Pharmaceutical Guidelines. The home should consider providing cold drinks in the communal areas at all times and offering them regularly so that residents are encouraged to have additional fluid intake. The home should consider providing a more accessible call bell system to residents with poor mobility so that they can easily summon assistance in an emergency. The home should implement a plan to ensure that 50 of care staff or more hold an NVQ at level 2 or above so that staff are aware of current best practice and are equipped to meet service users needs. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 7 The home must ensure that two written references and either a POVA first check or completed CRB disclosure are obtained prior to new staff commencing employment, to protect service users from risk of harm. The home should undertake an audit of the accident reports in order to identify trends and minimise risks to residents. 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. Netherclay House DS0000016043.V320371.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 Netherclay House DS0000016043.V320371.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 good. This judgement has been made using available evidence including a visit to this service. Prospective residents receive information relating to the home so that they can make an informed choice about where to live. Residents are issued with a contract with terms and conditions. The home has a comprehensive pre-admission assessment in place to ensure that it can meet prospective resident’s needs appropriately. EVIDENCE: Residents spoken with confirmed that they had received the home’s residents guide. Two residents spoken with were able to locate the guide within their room. The residents guide is comprehensive and contains the required Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 10 information. All residents who completed surveys confirmed that they had received enough information about the home before they moved in so that they could decide it was the right place for them. The home confirms the fees to prospective residents in writing. When there is a change to the cost of care, the home advises residents in writing. Residents spoken with confirmed that they had received a contract when they moved into the home. Contracts were viewed within the residents’ care plans. The home had undertaken comprehensive pre-admission assessments to ensure that it could meet the needs of prospective residents. When prospective residents are referred through Social Services, a copy of the care plan is obtained. Residents spoken with confirmed that their needs were assessed prior to moving into the home. The inspector spoke with a new resident who confirmed that they had spent time within the home prior to choosing to live at the home. The home has not introduced intermediate care since the last inspection. Netherclay House DS0000016043.V320371.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 good. This judgement has been made using available evidence including a visit to this service. Care plans are generally detailed and comprehensive. Medicines are stored securely. The management of medication procedures protects residents. Resident’s privacy and dignity is respected. EVIDENCE: The Inspectors viewed four care plans. These contained a good level of detail to enable staff to meet each resident’s healthcare & social needs. The home had written a comprehensive short term care plan for one resident. Three of the care plans had been reviewed monthly and updated where necessary. One care plan had not been reviewed for several months. The home should review Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 12 each care plan on a monthly basis to ensure that the resident’s current and changing needs are being met appropriately. One resident observed within the home presented challenging behaviour. The home should implement a detailed plan of how to manage the resident’s behavioural and psychological needs and record and monitor behaviours. The home should undertake a review to ensure that the resident’s needs can be met and that they are appropriately placed in the home, taking the other service users’ quality of life into consideration. Risk assessments relating to moving & handling; falls; and scalding were viewed. These provided comprehensive and detailed information on how to manage and minimise risks to residents and staff. Residents have access to a range of professionals including GP, District Nurse, Dentist, Social Worker, Optician and Chiropodist. The home’s medication policy was viewed. At the previous random inspection in July 2006, the policy did not contain all of the required information and information was inaccurate. Although, one amendment has been made in relation to controlled drugs, the other information has not been updated. There was no information relating to self administration for those residents who self medicate. There was no reference to signage for oxygen or steps to be taken to ensure the oxygen cylinder is not knocked over. The relevant act relating to controlled drugs is ‘The Misuse of Drugs Act 1971’. The policy should state that ; • verbal orders should only be used to change doses not to initiate treatment • medication is stored securely in the fridge i.e. locked • the correct temperature range of fridge is between 2 and 8 degrees celsius. The home should review its policy to ensure it reflects current good practice in line with Royal Pharmaceutical Guidelines. Medication is stored securely. The Medication Administration Record (MAR) Sheets were viewed. There was one gap in the records. However, the home advised that shortfalls are followed up with the member of staff concerned to ensure good practice and protect residents. Hand transcribed MAR Sheets contained two signatures and were dated. The home has recorded variable doses on the MAR Sheet. The controlled drugs were double locked. The Inspector checked the balance of one medicine and this was correct. The home had recorded and monitored the daily temperature for one medicine that was stored in the fridge to ensure that a safe temperature is maintained. Creams viewed in residents’ bathrooms had been dated on opening. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 13 Staff spoken with demonstrated a good awareness of how to respect resident’s privacy and dignity. Residents confirmed that they are treated with respect. Some residents have chosen to have a private telephone line in their bedroom. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 14 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 home offers some activities for those residents who wish to participate. Visitors to the home are made to feel welcome. Residents choose how to spend their time. Residents are generally happy with the food at the home. EVIDENCE: The home’s entertainment programme was viewed. This included a variety of musical entertainment. The manager confirmed that in-house activities include flexercise, games and reminiscence. The manager advised that some of the residents are taking part in Christmas activities such as making cards and sweet boxes. Communion is held monthly. During the inspection, residents were observed chatting, watching television, listening to the radio and reading. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 15 Two residents confirmed that they like gardening. The manager advised that she has plans to re-assess the home’s activities and ensure that all residents are offered opportunities. All residents spoken to confirmed that their visitors are made to feel welcome at the home. The Inspector observed staff offering resident choices throughout the day. Residents confirmed that they can spend their time as they want to and that they are given choices. Resident’s rooms are homely and personalised with their own possessions. The menus were viewed. Residents spoken with confirmed that they had enjoyed their lunch and that they are offered a choice of dishes. Staff were observed offering residents choices. Residents spoken with confirmed that the food at the home has improved since the previous inspection and is generally good. Residents are offered drinks at morning coffee, lunchtime and afternoon tea. The home should consider providing cold drinks in the communal areas at all times and offering them regularly so that residents are encouraged to have additional fluid intake. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints policy that is available to residents and staff. The home’s procedure in relation to Protection of Vulnerable Adults is not robust and places residents at potential risk of harm. EVIDENCE: The home has a complaints procedure. The procedure is kept within the home’s service user’s guide and staff policies file. The home had received one complaint since the last inspection. The manager had investigated the complaint. The complaint was documented and action had been taken as required. Residents spoken with knew who to speak to if they had any concerns. Three staff files were viewed. These all contained evidence of POVA first checks and completed Criminal Record Bureau checks. However, two members of staff had commenced work in the home prior to a POVA first check being received. This potentially places residents at risk of harm. The home must ensure that either a POVA first check or completed CRB disclosure is obtained prior to new staff commencing employment. The home has policies relating to Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 17 whistleblowing and abuse. Staff spoken with demonstrated an awareness of the steps to take if they witnessed or discovered abuse. The inspectors observed one resident behaving in a potentially upsetting manner towards another resident. The staff should monitor this situation and be prepared to take appropriate action. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 18 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, 22, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely environment with comfortable furnishings. The home was clean. The home has systems in place to control the spread of infection. EVIDENCE: The inspectors viewed the home. The environment is well maintained and homely with comfortable furnishings. The home has a pleasant lounge and library. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 19 All residents have a call bell in their room. However, it was observed during the inspection that residents in the lounge and library are not able to access a bell. The home should consider providing a more accessible call bell system to residents with poor mobility so that they can easily summon assistance in an emergency. At the previous random inspection in July 2006, the inspectors viewed lockable storage space for medication and valuables in some of the residents bedrooms. Other residents bedrooms did not have a lockable storage space. It was recommended that prior to any new resident moving into the home, a lockable storage space should be provided. The new resident could then be offered the choice of having a key when they arrive. During this inspection, the manager advised that all residents who are self medicating have a lockable space in their room. However, some residents stored their valuables in the home’s safe as they do not have a lockable space. This will be followed up at the next inspection. The home was clean and tidy. The home generally smelt fresh. However, there was a malodour in one of the bathrooms. The home confirmed that they will address this issue. The home has provided foot operated flip top bins throughout the home. Aprons and gloves were available for staff. Liquid soap and hand towels were provided. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 20 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 home had sufficient staff on duty to meet the needs of residents. Staff recruitment procedures are not robust and potentially place residents at risk of harm. The home has a comprehensive staff induction and training programme. The home does not currently meet the minimum ratio of 50 trained members of care staff holding NVQ at level 2 or above. EVIDENCE: Duty rotas were viewed. There are seven members of staff on during the morning; five staff in the afternoon and two staff at night. The Inspector observed that there appeared to be sufficient staff on duty to meet the resident’s needs. Residents spoken with confirmed that staff are there when they need them. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 21 The inspector viewed three staff recruitment files. On the day of inspection, these files contained all of the required documentation. However, all three members of staff had commenced employment at the home prior to two written references being received. Two written references must be received prior to new staff being appointed and a POVA First check must be obtained prior to new staff commencing employment (see Standard 18) to protect residents from the risk of harm. The home has a comprehensive induction and training programme. A planned training matrix provided a clear overview. Training areas include medication; fire; food hygiene; infection control; first aid; health & safety; manual handling and abuse. Specialist training areas include Parkinsons; Diabetes; Dementia; oral hygiene and nutrition. The home employs twenty three care staff. Seven staff have completed a NVQ and four staff are currently undertaking NVQs. Due to the recent movement of staff, the home does not currently meet the minimum ratio of 50 of staff holding an NVQ. The home should implement a plan to ensure that 50 of care staff or more hold an NVQ at level 2 or above so that staff are aware of current best practice and are equipped to meet residents’ needs. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 22 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is implementing quality assurance systems. Residents’ monies are safeguarded. The home is committed to promoting health and safety. EVIDENCE: Mrs Paulene Coles is the Registered Manager. She has eight years experience in the care industry. Residents spoken with stated that Mrs Coles is friendly and approachable. Residents were positive and comments included “this is a Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 23 well run home and wonderful carers”, and “I don’t think I could better this care home”. The home is currently completing the Somerset County Council self assessment to apply for a quality rating. The home has recently distributed a survey to five service users. All service users will be given the opportunity to complete the survey. The manager advised that the results will be collated and action taken as necessary. The manager speaks to residents on a regular basis. The home holds small amounts of money for some residents. The inspector viewed the records for one resident. The balance was checked and found to be correct. Receipts had been obtained to support transactions. The inspector viewed the home’s health and safety records. The home tests its fire alarm system weekly and emergency lights monthly. The fire alarm system and fire extinguishers were serviced in July 2006. The home’s gas safety certificate was issued on 30.03.06. The home’s bath hoists and hoists were serviced on 19.06.06. The passenger lift was serviced on 09.10.06. Accidents are recorded in the home’s accident book. The reports are detached in accordance with the Data Protection Act 1998. They are then filed in the resident’s individual care plans. The home should undertake an audit of the accident reports in order to identify trends and minimise risks. Cleaning chemicals were stored securely in accordance with COSHH Regulations 2000 and COSHH assessment sheets were viewed. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X X 2 X 2 X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19 (1)(b) (i) Schedule 2 Requirement The registered person shall not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of Schedule 2. (Two written references must be received prior to new staff being appointed and a POVA First check must be obtained prior to new staff commencing employment). Timescale for action 28/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations • The home should review each care plan on a monthly basis to ensure that residents’ current and changing needs are being met appropriately. • The home should implement a detailed plan of how to manage one resident’s behavioural and psychological DS0000016043.V320371.R01.S.doc Version 5.2 Page 26 Netherclay House 2. 3. OP9 OP15 4. 5. 6. OP22 OP24 OP28 7. OP38 needs and record and monitor behaviours. • The home should undertake a review to ensure that one resident’s needs can be met and that they are appropriately placed in the home, taking the other residents’ quality of life into consideration. The home should review its medication policy to ensure it reflects current good practice in line with Royal Pharmaceutical Guidelines. The home should consider providing cold drinks in the communal areas at all times and offering them regularly so that residents are encouraged to have additional fluid intake. The home should consider providing a more accessible call bell system to residents with poor mobility so that they can easily summon assistance in an emergency. Prior to any new resident moving into the home, a lockable storage space should be provided. The home should implement a plan to ensure that 50 of care staff or more hold an NVQ at level 2 or above so that staff are aware of current best practice and are equipped to meet residents needs. The home should undertake an audit of the accident reports in order to identify trends and minimise risks to residents. Netherclay House DS0000016043.V320371.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Netherclay House DS0000016043.V320371.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. Re-publishing this information is in breach of the terms of use of that website. 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