Inspection on 16/10/08 for Newbrae Eventide Home

This inspection was carried out on 16th October 2008.

CSCI found this care home to be providing an Adequate service.

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

Newbrae Eventide Home 08/08/06

Newbrae Eventide Home 25/10/05

Newbrae Eventide Home 20/04/05

Newbrae Eventide Home 12/10/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

CARE HOMES FOR OLDER PEOPLE Newbrae Eventide Home 41 Crowstone Road Westcliff On Sea Essex SS0 8BG Lead Inspector Carolyn Delaney Unannounced Inspection 16th October 2008 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 Newbrae Eventide Home DS0000061527.V369465.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. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newbrae Eventide Home Address 41 Crowstone Road Westcliff On Sea Essex SS0 8BG 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) 01702 430431 01702 213414 sallyacca@btinternet.com Mr Moussajee Assrafally Mrs Salmah Assrafally Mr Moussajee Assrafally Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10) of places Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2006 Brief Description of the Service: Newbrae provides accommodation for up to ten older people, including those with dementia, and is situated close to the towns of Southend, Westcliff on Sea, and Leigh on Sea. The home has a lounge/dining area, two bathrooms, one shower room and six single and two shared bedrooms, mostly with ensuite facilities. The home offers a small rear garden. There is no off street parking. The home has a passenger lift that provides access to all floors. Newbrae has easy access to local shops and amenities and there are good bus and train links in the area. The costs of a place in the home range between £420 and £450 per week. Residents are responsible for the costs of hairdressing and chiropody. Information about the home including the most current inspection report is made available to residents and their families when they move into the home. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality Rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was a routine unannounced inspection, which included a visit made to the home between the hours of 10.00 and 19.00 on 16th October 2008. Our internal communications manager accompanied us and observed the inspection process. We last inspected this home in 2006 and we carried out an Annual Service Review of the service in 2007. This is where we review information we have received or asked for and decide if based upon this information whether outcomes for people have changed. As part of the inspection process we reviewed information we have received about the service over the last twelve months including notifications sent to us by the manager of any event in the home, which affects residents such as injuries, deaths and any outbreak of infectious diseases. We did not receive the homes Annual Quality Assurance Assessment, as we had not requested it in time. This document is a self-assessment which the registered provider / owner tell us what they do well, how they evidence this and the improvements made within the previous twelve months. Four residents, three people who work in the home and one visitor were spoken with during the visit. In addition four residents (with assistance of staff) and seven staff members completed surveys. We observed how staff interacted and supported residents with meals, mobility and how they kept people stimulated with activities. During the site visit, records including residents’ care plans and assessments, and staff training files were examined. A brief tour of the premises was carried out and communal areas including lounge and bathrooms were viewed. In addition some residents’ bedrooms were viewed. Information obtained was triangulated and reviewed against our Key Lines for Regulatory Activity. This helps us to use the information to make judgements about outcomes for people who use social care services in a consistent and fair way. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: More suitable activities should be made available for residents whose dementia is more advanced so that they do not benefit from the games and activities provided. Residents may benefit from more choice at mealtimes. Staff working in the home are not fully aware of how to deal with allegations of abuse or ill treatment of residents. Staff are not always recruited thoroughly with all of the necessary checks including references obtained. These two issues may put residents at risk. Some maintenance issues are not always dealt with promptly such as ensuring that communal areas are adequately lit and that bathroom facilities are in good working order. Newbrae Eventide Home DS0000061527.V369465.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. Newbrae Eventide Home DS0000061527.V369465.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 Newbrae Eventide Home DS0000061527.V369465.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&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are assured that their assessed health and care needs will be met. EVIDENCE: There is a statement of purpose made available to commissioners (these are teams who choose and pay for social care packages including care home placements.) and people who may be looking for a care home. This sets out the aims and objectives of the home and the services provided. The manager said that residents or their families if more appropriate are given a copy of the service users guide. This is a document, which describes life and daily routines in the home. It gives the person information abut life in the home, including the times meals are served, the range of activities available and who to contact if they are unhappy or wish to make a complaint. Each of the four residents who completed surveys told us that they or their relatives had been given a copy of the home’s service users guide. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 10 Before a person is offered a place in the home the manager or deputy manager visit them in their home or hospital and carry out an assessment of their health and care needs. Four residents who completed surveys said the manager had assessed their needs before they moved into the home. On the basis of the information obtained the manager informs the person in writing whether the home will be suitable for their needs. Copies of these letters were seen in residents care folders. The pre-admission assessment for one person who had recently moved into the home was examined. The manager had carried out the assessment and it clearly identified what care and support the person needs to carry out activities of daily living such as washing and dressing and mobilising. Newbrae Eventide Home DS0000061527.V369465.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. People living in the home are well cared for and their healthcare needs are met. EVIDENCE: Each of the four people who completed surveys said that they receive the medical support that they need. Some residents and the manager told us that some general practitioners were reluctant to make house calls. Residents were not happy to travel to the surgery particularly with the approaching colder Winter months. The manager arranged for these people to be registered with a different general practitioner who will visit residents in the home and they are happy with this arrangement. From the information in the assessment carried out by the manager before admission staff develop a plan of care and support for each individual. Residents are asked if they agree and are happy with the plan and sign to say that they agree to it. We looked in depth at the care plans for two people living in the home. Information was recorded as to how each person was to be supported by staff. Care plans included details about any particular likes or Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 12 dislikes each person has regarding their care and the level of support each person needed to carry out daily activities of living such as washing and dressing, mobilising and eating and drinking. Staff review care plans usually once every month or more often if there are changes to the needs of resident. Risks to resident’s health and safety are assessed when a person moves into the home. Staff recorded risks to individuals such as falls, injuries or developing pressure sores as a result of reduced mobility. Any factors, which may increase risks such as medicines, person’s medical condition etc were identified in the risk management plans and staff reviewed these regularly. We looked at the notifications we have received about events in the home, which affect residents, such as injuries. We also looked at the records, which staff keep in respect of accidents and incidents in the home and there have been no serious injuries to residents since the last inspection. There is a policy and procedure which staff refer to in respect of handling and administering medicines. Staff undertake training in how to safely manage medicines. We looked at how medicines were stored and the records staff keep. Medicines were stored securely and staff kept accurate records of medicines received and administered. People are assessed when they move into the home to see if they can safely keep and self-administer their own medicines. At the time of this inspection none of the residents were capable of or chose to keep their own medicines. We observed staff give medicines to residents and they did so correctly in accordance with the policy. We observed during the inspection that the storage arrangements for Controlled Drugs were inadequate. Controlled Drugs are prescribed medicines that are usually used to treat severe pain, and they have additional safety precautions and requirements. These include special arrangements for storage. These are set out in the Misuse of Drugs Act Regulations 2001 (as amended). While there were no residents prescribed controlled drugs at the time of this inspection the manager would not have appropriate storage facilities should a resident become unwell and need these medicines. Newbrae Eventide Home DS0000061527.V369465.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 good. This judgement has been made using available evidence including a visit to this service. Residents make choices about their daily lives. Suitable opportunities for activities are not available for all residents. EVIDENCE: We looked at the plan of activities, which are available for residents. These include a visit from an outside entertainer once a fortnight, church service every three weeks, books from the mobile library once every month. Board games, bingo, quizzes and chair exercises are offered on various days during the week. During the inspection we saw staff play cards, bingo and an interactive DVD quiz with residents. We observed that while there are activities planned that these do not reflect the needs of people whose dementia is more advanced and who need more input, as they do not respond to the games and activities provided. Residents have the opportunity to air their views at meetings held three times a year. Some residents said they would like more activities and entertainment. One person who visits the home regularly said ‘there are always activities for residents’. The four residents who completed surveys told us that they always have activities that they can participate in. One resident said they ‘prefer to Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 14 stay in their room and the quiet life’. Another person said that they ‘enjoy the exercises which staff do with them’. Staff take it in turns to cook meals for residents. Residents are offered a choice of cereals and toast for breakfast. There is a planned menu, which includes a variety of home cooked meals including casseroles, roasts, curries, Italian meals and fish. There is no alternative offered to the main meal served at lunchtime. Each of the four residents who completed surveys told us that they enjoy the meals provided. One person said ‘I like the meals very much, they are good and served hot’. Another person said ‘the meals are very good and we have different food every day. Residents told us that there is always an alternative provided if they ask for it. During the inspection we observed the lunch and evening meal. The lunch meal consisted of beef casserole served with vegetables and mashed potatoes. Residents were offered the choice to have their meal at dining tables, or on overlap style tables in the lounge. A selection of sauces and condiments were available and residents appeared to enjoy the meal, which looked and smelt very appetising. Three residents told us that they enjoyed the food. One resident refused to eat their meal. Staff offered a number of alternatives including sandwiches, fruit or omelette and chips. The resident chose to have the omelette and appeared to enjoy it. Staff prepared pork pies with salad and bread and butter for the evening meal. Residents told us that they enjoyed the meal. We observed that staff were available to assist and prompt residents where needed and the mealtime was unhurried, allowing people enough time to finish. Residents were asked if they would like more food before staff removed their plates. Newbrae Eventide Home DS0000061527.V369465.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents are treated well and complaints are taken seriously. Poor knowledge of safeguarding procedures may put residents at risk. EVIDENCE: There is a policy and procedure for managing complaints. The manager speaks with residents and their families when a person moves into the home and informs them how to complain and who to speak with if they are unhappy with anything at the home. Each of the four residents who completed surveys said that they knew who to complain to if they were unhappy. Two residents said they would complain to the manager or social services. All complaints are recorded. The manager said there have been no complaints made since the last inspection and there were none recorded. Each of the four residents who we spoke with told us that they had no complaints about the home. One visitor also said that they had no concerns and that the home was well managed and staff treat residents well. We have received no complaints about the home since the last inspection. Staff have access to the local council’s policies for safeguarding people who may be vulnerable from abuse and four members of staff had received training provided by Southend Borough Council Safeguarding unit within the past twelve months. We spoke with the manager and deputy manager to determine their understanding of safeguarding. Both said that they would investigate any Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 16 allegations of abuse. The deputy manager who had received recent training in 2007 did not seem to be aware of correct procedure and the importance of informing the safeguarding unit of any incident before carrying out an investigation. We looked at the way in which staff were recruited to work in the home. Checks such as Criminal Records Bureau disclosures had been carried out to help ensure that candidates were suited to work with older people. However references were not always obtained from a person’s previous employer so as to determine that there have been no issues and that they are not still working at the other home (see staffing evidence). Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and comfortable home. EVIDENCE: Each of the four residents who completed surveys told us that the home is always fresh and clean. One person said ‘the manager shampoos my bedroom carpet every two weeks’. A cleaner is employed three days each week. During the inspection we found the home to be clean and free from unpleasant odours. We looked at some of the comments made by residents and their relatives about the environment in recent meetings. Some people said that the lighting in the lounge area was ‘dim’. On the day of the inspection we saw that a light bulb had not been replaced and the room was poorly lit in the evening. The toilet in the downstairs bathroom did not flush properly and this too had been identified by relatives and brought to the attention of the manager some months before the inspection. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 18 The lounge does not provide ample space for all residents to sit in a chair that has a comfortable view of the television. The manager said that not all residents wish to watch the television. However residents have no choice but to sit and listen to it whether they would wish to or not. This was identified at the last inspection. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by trained staff. However poor recruitment practices may put residents at risk. EVIDENCE: The manager told us that he determines the staffing numbers required by using the Residential Forum tool. This helps managers to calculate the number of staff needed based upon the dependencies of residents living in the home. Ten full time staff were employed in the home. Four staff work from 07.00 to 15.00 and three from 15.00 to 21.00. Two staff cover the night duty including one sleep in staff who will be called upon if needed. A sample of the duty rota was examined and this showed us that these staffing levels were maintained and that staff do not usually work excessive hours without appropriate days off. However one person who was recently employed at the home is also working full time at another care home and may be working up to ninety hours per week, which could impact on the care and support, provided to residents. Residents who completed surveys said that staff were available when needed and one resident who spoke to us said ‘staff are smashing’. The manager told us that three members of staff had been employed within the last twelve months and two of those had since left due to personal issues Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 20 or illness. The files for two of these people were looked at to assess recruitment practices. Checks such as Criminal Records Bureau disclosures and PoVA First had been carried out for both to help ensure that they are suited to work with older people. However references had not been obtained from previous employers so as to ensure that there had not been any issues in respect of their work. There was insufficient information for one person that they were entitled to legally work in the home as they had a work permit for another home. The manager said that this person continued to work at the other home but was permitted top work up to an additional twenty hours elsewhere. However upon checking rotas we saw that this person regularly worked up to fifty-six hours per week. We checked with the other home for which this person had a work permit and found that they also worked fulltime there. This could impact upon the care that residents receive. When a person commences work at the home they undertake a period of induction which helps them to familiarise themselves with the daily routines, policies and procedures and the needs of residents. A record of training undertaken by staff since January 2008 was seen. Staff receive training in respect of managing challenging behaviour, fire safety, safe moving and handling, infection control and caring for people who have dementia. Some staff had undertaken training for managing challenging behaviour and understanding the Mental Capacity Act. Four staff have a National Vocational Qualification in care and a further four staff were undertaking this training. This helps staff to deliver care and support residents in a consistent way in accordance with nationally recognised standards. Staff are regularly supervised by the manager or deputy manager so as to monitor practices and to identify and training or development needs. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 & 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 well managed and residents are well cared for. EVIDENCE: The registered manager is a qualified nurse and the National Vocational Qualification level 4, Registered Managers Award. Residents, relatives and staff all said that they were happy with the home and how it is managed. Staff told us that the manager supports them and that they receive regular supervision. Residents have the opportunity to make comments about the home and to air their views in meetings, which are held approximately three times per year. The manager has a ‘hands on approach’ and is readily available to residents and their families to discuss any aspect of the service provided. We sent surveys to the manager so that we could obtain Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 22 residents views. The manager and staff assisted residents who were unable to complete survey forms independently. This meant that some of the information we received was conflicting. For example when one person spoke with us they said that they would prefer to get up later in the morning. However when the manager later spoke with this person he said that they retracted this view. This may indicate that residents who like the manager may not openly express their views to him. We looked at records in respect of the repair and maintenance of systems and equipment in the home such as fire detection and fighting equipment, gas and electrical systems and installations. These were all in good order and up to date, which evidenced that equipment is well maintained and fit for purpose. Staff undertake regular training in respect of safely dealing with an outbreak of fire in the home. It was noted that a hoist obstructed access to one of the fire extinguishers. This could impede staff in the event that they needed to use this piece of equipment. Following the inspection the manager removed this extinguisher to a more appropriate and accessible place. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X 3 X 3 Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13(2),Sch edule 3(3)(i), 12(2)(3) Requirement Arrangements must be made for the storage of Controlled Drugs, which must be stored and appropriate records kept in accordance with the Misuse of Drugs (Safe Custody) Regulations 1973 as amended. So as to prevent the mishandling of medicines in the home. Staff must be trained and knowledgeable in respect of the homes safeguarding policies so as to help minimise risks to residents and ensure that appropriate action is taken in the event of any allegation of abuse. Staff must be recruited thoroughly with all of the required checks including references obtained so as to help ensure that staff are suited to work with people who may be vulnerable. This is a repeat requirement and the timescale of 08/08/06 has not been met. Timescale for action 30/12/08 2. OP18 13(6) 10/12/08 3 OP29 19 30/11/08 Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 25 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. Refer to Standard OP15 OP19 OP19 OP33 Good Practice Recommendations An alternative to the planned meal should be offered so as to promote residents choice. The layout of the lounge area should be reviewed to ensure that it suits the needs of residents. Routine repair and maintenance should be attended to more promptly to ensure that all areas of the home are suited for purpose. Residents who cannot complete surveys independently may benefit from assistance from some independent to the running of the home to allow them to express their views more freely. Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Newbrae Eventide Home DS0000061527.V369465.R01.S.doc Version 5.2 Page 27 - 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!