Inspection on 26/10/07 for Newent House

This inspection was carried out on 26th 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 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

Newent House 25/09/08

Newent House 24/08/06

Newent House 23/01/06

Newent House 22/06/05

Newent House 23/03/05

Newent House 18/06/04

Newent House 05/02/03

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 Newent House 8 - 10 Browns Road Surbiton Surrey KT5 8SP Lead Inspector Ms Rin Saimbi Key Unannounced Inspection 09:30 26th October 2007 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 Newent House DS0000034120.V350455.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. Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newent House Address 8 - 10 Browns Road Surbiton Surrey KT5 8SP 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) 020 8547 6311 020 8339 9002 rory.belfield@rbk.kingston.gov.uk Community Care Services Rory Giles Belfield Care Home 38 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (38) of places Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Four (4) places for service user category dementia can be accommodated. 24th August 2006 Date of last inspection Brief Description of the Service: Newent House is part of a large resource centre for older people, owned and managed by the Royal Borough of Kingston Upon Thames. The centre provides residential care and a day service for older people living in the community. The residential service provides accommodation for up to 38 older people. The accommodation is arranged over three floors. There are a number of communal lounges, a conservatory, and licensed bar and dining room. Each person who uses the service has a single bedroom. There are kitchenettes on the first and second floors. Bathrooms and toilets are available on each floor. There is a well-maintained garden. A copy of the service’s Statement of Purpose and Service User Guide can be obtained on request from the Registered Manager. Fees for the home at the time of writing are £551.87 per week. Newent House DS0000034120.V350455.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 that took place on 26th October 2007, it started at 9.30 am and took approximately seven hours to complete. The inspection took the form of talking to people who use the service, and observing staff interaction with people. Records that related to people who use the service were examined and a number of them were case-tracked. There was a partial tour of the premises. Staff records and documents relating to the service were also examined. All information coming to the Commission over the last year from a variety of sources was reviewed. This included the Annual Quality Assurance Assessment (AQAA), which was completed by the home in a timely and well-considered manner. There had been issue during the inspection, which involved a specific member of staff. This member of staff had not respected people’s privacy and dignity. The matter was raised with the management of the home on the day of the inspection. The inspector is assured that the actions of the member of staff are an isolated incident and that the managers are taking appropriate action. The issue has not compromised the homes overall inspection rating. On the day of the inspection the manager was not available; the inspector wishes to thank the deputy manager, the staff and all the people who use the service for their time and co-operation during the inspection process. What the service does well: This is, in general, a well run home were people who use the service have their needs met. The majority of feedback received about the home was very positive. A friend of one of the people living in the home said, ‘I think this is a lovely home’. A person using the service said,’ it’s a lovely home and the staff are very kind’; another stated ‘you’re well fed and watered and there’s an alarm system, what more could you want?’ The home benefits from a reasonably stable staff team who have a range of experiences and skills. There are many training opportunities for staff, which further enhance skills and ensure that people who use the service have their needs met. The staff team in general have a warm, caring approach; they give choice and more importantly, time to people who live within the home. There is a reasonably high number of male staff who are able to support the growing number of men who use the service. Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 6 The home is well decorated and maintained to a reasonable standard; this assists in creating a homely environment. A number of people who use the service stated that the quality of the food was very good; they particularly welcomed the increased choice of three main meals at lunchtimes. One person stated that the ‘food was super’. Care is taken to ensure that meals are taken in a congenial and relaxed atmosphere. What has improved since the last inspection? What they could do better: Extensive training is available for staff, although it was noted that staff would benefit from refresher courses on vulnerable adults and manual handling. For some members of staff, the issues had not been revisited for some considerable time. With regard to staff supervision, all staff must receive supervision at the required level, and if this is not possible because of commitments of the supervisor, then alternative arrangements for supervision should be made. The home must also ensure that people who use the service have all their health needs addressed in full, this includes having their weight monitored on a regular basis and risk assessments reviewed annually. Newent House DS0000034120.V350455.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. Newent House DS0000034120.V350455.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 Newent House DS0000034120.V350455.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): 3,4,5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is gathered from a variety of sources including the people who use the service, family and other professionals before a decision is made regarding the suitability of the home. It is only after a trail period and then a final review meeting that a decision is made about the placement. In this way, people who use the service can feel assured that the placement is able to meet their individual needs, rather than they are being slotted into a vacancy. EVIDENCE: Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 10 Information is gathered from a variety of sources including the people who use the service, family and other professionals before a decision is made regarding the suitability of the home. There is then a period when people who use the service have the opportunity to visit the home and live there for six weeks or longer if necessary before a final review meeting is held to consider the suitability of the placement. The inspector case tracked four people who use the service; information was examined including all the assessment details gathered prior to admission. The assessment included information on mobility, medical needs, and dietary requirements. This assessment was then translated into an individual care plan, which outlined the day-to-day care that is to be given. The home does have various aids and adaptations that would assist people who use the service in their daily lives; these include a lift, grab rails and specialist bathing equipment. Amongst the people who use the service a significant minority are male, that is to say thirteen individuals; They are in part supported by a higher than average number of male members of staff, in the case of this home, seven. This is unusual in this type of home although very positive. The home do not provide intermediate care for people who require rehabilitation although they do provide respite care for individuals. Newent House DS0000034120.V350455.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 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There have been improved arrangements for care planning which allow people who use the service to have their health, social and personal care needs met. There are generally good arrangements for ensuring that medication is handled safely, however, there remains a need for improved practice in medication to keep people safe. People who use the service have their dignity and privacy respected EVIDENCE: Care plans were examined, they described the needs of the people who use the service and how these were to be met detailing the support that should be Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 12 offered to maximise independence. There was an indication that the key worker and the person receiving the service reviewed the care plans on a monthly basis, their signatures confirmed this. On an annual basis, care plans were reviewed more formally within a statutory framework with the care manager, person using the service and their representatives. The deputy manager explained that the home have an expectation that daily recordings are completed on every shift for each person. Examination of the daily recordings confirmed that these were completed at a satisfactory level with appropriate information. Risk assessments were checked, it was noted that for manual handling some of the assessments had not been reviewed in the last year. In one particular example, the last documented assessment that could be found was dated the 12.8.03. A requirement has therefore been made that all risk assessments must be reviewed at least annually by a member of staff appropriately trained to do so. The handling of medication within this home has been of concern for some considerable time. There have however been some improvements in this area. Medication Administration Records (MAR) were viewed for a number of people within the service, all appeared up to date and accurate. The home has also introduced photographs on medication records in order to minimise the possibility of errors. Medication errors are still occurring occasionally, although they appear to be picked up quickly and are being recorded appropriately. All staff are appropriately trained in the administration of medication. It was noted however, that in one instance when the home had run out of MAR sheets they had photocopied them. As a consequence the date had been handwritten and was illegible. A recommendation has therefore been made that the home ceases photocopying MAR sheets. A much greater concern to the Commission was that in one instance, a person’s allergy to Aspirin was not noted on his MAR records or his care plan. The only reference that could be found to this allergy was on a telephone card index and on the daily recording, which was incidental. A requirement has therefore been made that the home must in future record on the MAR charts each persons allergies and this information must appear in a prominent place on their care plans. The home has an external audit of their medication on an annual basis, the last one being on the 12.10.07 a copy of which was available for inspection Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 13 purposes. A recommendation is made that the home should have at least six monthly external audits, in an attempt to minimise any errors being made. Care records detailed that people who use the service have access to a range of health care professionals and that the home is proactive in arranging health appointments. There were records detailing that people are registered with a General Practitioner and have access to the opticians and dentists. It was noted that people who use the service do not have their weight monitored on a regular basis. In one example, some one had been weighted twice in August and then not at all. A requirement has therefore been made that nutritional screening is carried out on admission and that weight gain or loss is recorded on a regular basis. Staff members were observed to treat people who use the service with respect and to uphold their dignity. Positive interactions were noted throughout this inspection. Staff members were noted to knock, and wait for a response before entering bedroom’s; they were heard giving people who use the service choices and addressing them in a respectful and appropriate manner. Newent House DS0000034120.V350455.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a varied activities programme that ensures that differing expectations and lifestyles are catered for. Food is an important factor in determining the quality of life within a home; people within this home are very positive about the food that is offered and use mealtimes as a social event. EVIDENCE: There is a full time activities coordinator who organises a range of social and recreational activities; these include weekly sessions of music, cookery, bingo and carpet bowls. There have been summer outings including to the London Eye, Greenwich and to another home to mark Black history month. The home is moving towards implementation of the ‘Eden alternative’, which is a way of enabling people who use the service to make their own choices regarding life within the home. Two of the people who use the service, did Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 15 state that ‘there is not really enough to do here.’ This information was fed back to the deputy manager. The environment of the home allows for ample space and opportunity for people within the home to participate in activities, watch television or to sit quietly. The home also has a licensed bar. People within the home could have a daily newspaper if they wished. A vicar and priest come into the home on a regular basis, or people within the home can choose to attend a church if they wish. Throughout the inspection, visitors were observed coming and going. The inspector was able to talk to two of the visitors, who said that they were always welcomed into the home and could see their friends and relatives in private or in one of the lounges if they wished. The home has recently introduced a choice of three meals available at lunchtime, two main meals and a main vegetarian meal, which are on a threeweek rota. This change had been very welcomed by the people who use the service, comments included ‘the food is super…I like the choice’ and ‘the food is really very good here.’ The chef explained that the lunchtime meal is the main meal, and although people enjoyed traditional food, he was also able to introduce Kiev, lasagne and spring rolls. Evening meals tended to be a lighter meal such as scrambled eggs or sausage rolls; the chef stated that soups were always popular and that they were moving towards freshly made soups every day. There was a weekly menu available that detailed that meals provided are varied. There was a notice board in the dining room detailing what meals would be served. This was well presented and had been thoughtfully written. Meals were served in a congenial dining area. People within the service lay the tables at lunchtime and clearly see it as an important function within their daily routine. Newent House DS0000034120.V350455.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a system in place for the effective handling of complaints and people who use the service and their relatives are encouraged to raise any concerns they have. People therefore should feel that their concerns would be acted upon. Arrangements are generally in place for handling allegations and instances of abuse, people who use the service can therefore feel assured that they will be protected from harm. EVIDENCE: There are policies and procedures in place for dealing with complaints. Information is made available in the Service User Guide about how a compliant, concern or suggestion should be made, and how this will be handled. The home has a complaints log, which was examined; it indicated that in the majority cases complaints were dealt with in a timely fashion. A number of people who use the service were asked by the inspector if they had a problem or difficultly about the home, who they would talk to. All responded that they would talk to the manager, although one person was unaware that there was a new manager and said instead that they would talk to the deputy. Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 17 The home has a copy of the Royal Borough of Kingston Council’s vulnerable adult protection procedures. Staff were given a fictional scenario, which involved adult protection, and what action they would take, all were able to give an appropriate response. It was noted however that for the majority of staff, the only adult protection training that they had undertaken was during their induction period, and for some, this was many years previously. A requirement has therefore been made that all staff must receive minimal training at least once every three years Newent House DS0000034120.V350455.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): 19,20,21,22,25 and 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 maintained, decorated and furnished generally, to a good standard and facilities are clean and safe. This ensures that people who use the service live in a pleasant, homely and comfortable environment. EVIDENCE: The home is generally well maintained and provides a pleasant and homely environment to those who live there. There is a well-maintained garden to the rear of the property containing a number of seating areas, and there are ramps providing access to wheelchair users. To the front of the building there is parking available. Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 19 The home is over three floors, with bedrooms on the first and second floor. The ground floor has four lounges, a licensed bar, dining room, laundry room and various offices. The kitchen area is due for renovation within the next few months, it is anticipated that mobile kitchen facilities will be brought in so that disruption is kept to a minimal. The first and second floors have their own kitchenette areas so that people who use the service or relatives can make their own drinks or light snacks. Lavatories and washing facilities seen were, in general, appropriate and accessible to people who use the service. There are sluice facilities on the first and second floors. A number of bedrooms were viewed; some had personal furniture, others contained personal items such as photographs, ornaments and pictures. There had also been some attempts to personalise the respite rooms with pictures and plants, although in some instances they were still a little stark. The water temperature was checked in a number of bedrooms and appeared to be adequate. The home was generally clean and free from offensive odours. Newent House DS0000034120.V350455.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff members are provided in sufficient numbers and the procedures for the recruitment of staff are reasonably robust and provide the safeguards to offer protection to people living in the home. There is, in general, a good staff training and development programme, however, some staff members are not provided with the training necessary for fully meeting the needs of people who use the service. EVIDENCE: Staffing levels appeared to be appropriate, and in line with the needs of current people who use the service. Staffing rotas were viewed at random and indicated that there are sufficient staff on duty. As well as care staff, there were a number of other staff on duty at the time of the inspection; these included the deputy manager, a cook, kitchen assistants, cleaners and laundry staff. Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 21 Three staff files were chosen at random to see if they contained all relevant information that related to selection and recruitment. The files contained job descriptions, application forms, two references and two forms of identification. All files that were checked also had a PoVA First checks and enhanced Criminal Records Beaux checks (CRB). It was noted however that in one instance the CRB was dated the 4/8/03. A requirement has therefore been made that CRB must be renewed every three years. Training records were examined, and there was discussion with staff about the training that had been completed in the preceding year. One member of staff was able to give a clear account of the induction process that they had been undertaken; this had included training on medication awareness, manual handling, food hygiene, and fire. Staff talked about the monthly training bulletins and the courses that were on offer; these had ranged for one member of staff who was new in post to a short course about nail care to a management course for a more experienced member of staff. It appears that all staff are receiving the minimum of three paid days training a year. Although the training available is extensive, it was noted that staff would benefit from refresher courses on vulnerable adults and manual handling. For some members of staff, the issues had not been revisited since their induction. A requirement has therefore been made in this regard. Newent House DS0000034120.V350455.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): 31,32,33,36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are suitable arrangements for the management of the home and there is a quality assurance system based on running the home in the best interests of people who use the service. There are, in general, good arrangements for health and safety, which promote the well being of people who use the service. EVIDENCE: A new manager has been in post for approximately a year. The feedback received from staff and people who use the service has been positive. One Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 23 member of staff said of him, ‘he is approachable, upfront and deals with inappropriate actions.’ A person living within the home said, ‘I like him, and if I had a problem I would talk to him’. Supervision records were requested for four individual members of staff. None were available for inspection purposes. One member of staff responsible for supervision did acknowledge that because of secondment he had not supervised two members of staff for four to five months. Two requirements are therefore being made regarding supervision. Firstly, that supervision records must be available for inspection. Secondly, that should there be a scenario where a member of staff is not available to supervise staff for any length of period, then alternative arrangements need to be made to address this. Quality monitoring in the home occurs in a number of ways. There is an annual development plan for the home. There are regular monthly meetings for people who use the service. Regulation 26 visits are completed on a monthly basis and were available for inspection purposes. Family members, in general, retain control over service user’s finances. Small amounts of money are kept in the home’s safe for some people who use the service. Records were not examined during this inspection regarding the money held by the home. However, previous inspections of the home have found records to be in good order. Records indicated that there are regular safety checks on fridge and freezer temperatures, fire fighting equipment, and the fire alarm. Regular fire drills occur, the last one being on the 25.9.07. There were records detailing that the home’s hoists, bath seats and lift have recently been serviced. Newent House DS0000034120.V350455.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 X X 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 3 3 3 3 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 X 3 Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP7 OP8 Regulation 15(2)(b) 12(1)(a) Requirement The home must ensure that manual handling reviews are undertaken at least annually The home must ensure that people who use the service have their weight monitored on a regular basis All known allergies are recorded appropriately and prominently All staff must receive vulnerable adults training on an annual basis CRB’s must be renewed at least every three years All staff must have annual manual handling training Staff supervision records must be available for inspection purposes All staff must receive the required level of supervision; if this is not possible then alternative arrangements must be made Timescale for action 26/11/07 26/11/07 3. 4. 5 6. 7. OP9 OP18 and OP30 OP29 OP30 OP36 17(1)(a) 12(1)(a) 18(1)(a) 18(1)(c) 18(2) 26/10/07 26/12/07 26/11/07 26/12/07 26/12/07 26/11/07 8. OP36 18(2) Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 26 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. Refer to Standard OP9 OP9 Good Practice Recommendations Medication Administration Records should not be photocopied The home should have external audits by a pharmacist on a six monthly basis. Newent House DS0000034120.V350455.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Newent House DS0000034120.V350455.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. 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!