Inspection on 28/11/06 for Newlands House Cheshire Home

This inspection was carried out on 28th 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newlands House Cheshire Home 12/11/08

Newlands House Cheshire Home 24/01/06

Newlands House Cheshire Home 16/08/05

Newlands House Cheshire Home 08/02/05

Newlands House Cheshire Home 05/08/04

Newlands House Cheshire Home 10/03/04

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

CARE HOME ADULTS 18-65 Newlands House Cheshire Home Main Street Netherseal Swadlincote Derbyshire DE12 8DA Lead Inspector Claire Williams Key Unannounced Inspection 28th November 2006 08:30 Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 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 Newlands House Cheshire Home DS0000002158.V302990.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 Adults 18-65. 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. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newlands House Cheshire Home Address Main Street Netherseal Swadlincote Derbyshire DE12 8DA 01283 762200 01283 762888 a.stanley@east.leonard-cheshire.org.uk www.leonard-cheshire.org.uk Leonard Cheshire 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) Ann Lynda Stanley Care Home 33 Category(ies) of Physical disability (33) registration, with number of places Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Newlands House is a purpose built home offering 24-hour personal care and nursing for adults of either sex with a physical disability between the ages of 18 and 65 years. The accommodation comprises of 33 single bedrooms. The design, layout and size of the home allow individuals good access and freedom of movement. The Home has a hydrotherapy pool, physiotherapy and occupational therapy areas, and is situated in the village of Netherseal, close to local amenities. The Responsible Person is a national charitable organisation. Information about the service is provided in the Statement of Purpose and Service User Guide; both of these documents are made available to individuals and their families/representatives. The fees for Newlands are assessed on an individual basis depending upon need and access to therapeutic services. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced key inspection that took place over a nine hour period. The inspection involved assessing key areas as identified by the CSCI. The inspector spoke with 13 individuals that live at Newlands, and examined four files using the Case tracking methodology. A tour of the building was undertaken and time was spent observing staff interaction with the people living at the home. The inspector spoke with 4 staff members and examined three files. The Registered Manager was on duty and assisted with the inspection. A number of records were examined, including risk assessments and medication, and health and safety documentation. An assessment was also made of the progress by the registered persons to address the requirements made at previous inspection. What the service does well: What has improved since the last inspection? The medication practices have had some improvements and the systems in place were in accordance with good practice recommendations and the policies and procedures. However further improvements around the administration of medication is still required. Information concerning the activities individuals’ participant in, was available to support that individuals have access to valued opportunities. The pre- needs assessment has been updated to include reference to individual’s compatibility with the people living in the home. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support and care needs of individuals are assessed to ensure that their aspirations are planned for and that this service is right for them. EVIDENCE: In the discussions with the people that live at Newlands it was confirmed that they had received copies of the Statement of purpose and Service user guide to enable them to be informed about the services available, however their was no documentation to support this. These documents are available in large print and on audio tape for those individuals that are not able to access the written version. Out of the four files chosen for case tracking two of these were for individuals that had recently moved into the home. There was evidence in both files to support that an assessment of their needs had been undertaken by their Care manager and by a senior member of staff at Newlands. There was evidence to support that trial visits had been undertaken and this was confirmed with one of the individuals who stated, “it was nice to visit here and meet the staff and other residents”. In response to the previous inspection the Registered manager has ensured that the pre-admission form has been updated to include reference to the individual’s compatibility with the people that currently live at Newlands. However there was no evidence in either file to support that an assessment of this had been undertaken. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care files did not reflect individual aspirations and needs, and how these should be supported, therefore staff do not have the required information to delivery their care. Individuals are consulted about their lives and about the running of the home. EVIDENCE: Of the four files examined only two contained updated information about the individuals personal and healthcare needs. The files for the individuals who had recently moved into Newlands did not contain detailed care plans, therefore providing limited information for the staff team to follow, other than the preadmission information. One of the individuals had transferred from another home of the provider, and their file contained the care plan from this home. There was no evidence to support that this information had been reviewed following their admission to Newlands. All files did contain a ‘quick reference guide’ that did contain some detail about the support the individual requires, but this record was not dated and there was no evidence that it had been reviewed. The two files with care plans had Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 10 information recorded about their personal care needs, which was written from the individual’s perspective, but the information was not comprehensive and did not include aspects of their social and healthcare needs as set out in National Minimum Standard 2. It was difficult for the inspector to access up to date information due to the amount of information contained in the files. All files contained a moving and handling assessment, which were dated and contained an action plan on minimizing the risks. One file contained a general risk assessment concerning potential risks to the individual when undertaking certain tasks. There was evidence that these assessments had been reviewed. The people living at Newlands confirmed that they are actively encouraged to be independent in their lives and that they are consulted on a daily basis concerning aspects about their care and about the running of the home. Individuals confirmed that the staff members offer them choices and respect their replies. The inspector had a meeting with the chairperson of the residents committee, who confirmed that regular resident meetings continue to be held to discuss the running of the home, and with the management to discuss action and agenda items. Information about advocacy services is available within the home. People spoken with spoke positively about living at Newlands and comments included: “I like living here”; “the staff are good, and helpful” “it’s a nice spacious environment to live in, the care is good”. During the course of the day the inspector observed friendly banter between individuals and the staff members creating an inclusive atmosphere. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals have access to varied opportunities, and life experiences in order to develop independent living skills. Opportunities were tailored to individual interests and abilities to enable all people to have fulfilling lifestyles within Newlands. EVIDENCE: The staff team strive to enable individuals to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and are supported to work towards them. People living at Newlands can access the day centre, which has a variety of rooms for specific activities, which include: arts and crafts, gardening workshops, and the hi-tech computer room. Each individual can also access the hydrotherapy pool for physiotherapy, which most people stated, “is the best facility in the home due to the therapeutic benefit”. External activities are also facilitated such as sailing ad horse riding as well as accessing the local community and provisions. People stated that they had “fulfilling lives”, and Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 12 felt that appropriate and stimulating activities were available for their personal development and enjoyment. It was evident from the discussions and observations that the daily routines of the Newlands are flexible and promote people’s independence, choice, and freedom of movement, in accordance with their individual support needs. Individuals confirmed that contact with family and friends is supported and encouraged by the staff team. The inspector was invited to have lunch with the people at the home. Menus are based on a four-week rolling programme and individuals did state that they are consulted about the choices and meals available. The meal options for that day was clearly displayed in the dining area, and individuals confirmed that they were asked earlier in the day what their choice of meal was. There was a choice of two meals available and specialist diets were catered for. Staff members were observed supporting individuals to eat their food in a relaxed and dignified manner and the mealtime was relaxed. Healthy eating options were promoted and fruit was available for individuals to access. Generally individuals stated that they were satisfied with the meal provision but some individuals did state that some improvements could be made, and the following comment was made: “I know exactly what I will be having at each mealtime”. During discussions with the Registered manager she confirmed that she would be looking to review the menus at the beginning of next year. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are not adequately supported to ensure their healthcare needs are met. EVIDENCE: Individuals who spoke with the inspector confirmed that the staff team supported them in their personal care tasks in a manner, which is in accordance with their individual preferences. The examination of records and discussions held with individuals confirmed that their physical and emotional health needs were being met at the home. However although Tissue viability, and nutritional forms were in individual’s files, only one out of the four files had these records completed and reviewed. The records in the other three files were either blank or had not been reviewed for a period of time. Individuals are supported to attend health care appointments by the staff team, and information about the outcomes and any required action was recorded in the file for that person Individual cultural requirements are recorded if a need is identified and would be implemented as part of their support plan, although there are currently no individuals at the home who are from a minority ethnic background. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 14 Individuals confirmed that they had the required aids and equipment that they need in order to be independent and responsible for their own personal hygiene. Staff are aware of the need to treat individuals with respect and to consider dignity when delivering personal care. People who use the service are happy with the way that the staff team deliver their care and respect their dignity. The medication practices and storage was examined for those individuals who care were case tracked. Two people had countersigned all handwritten medication instructions and all variable doses had been recorded. There was evidence to support that the medication had been checked in and a returns book was used to record any medication that is returned to the pharmacy. The medication was stored appropriately and all records were generally completed satisfactory. The inspector noted one gap where medication had not been signed for and evidence that medicated creams and shampoos were not signed; these issues were discussed with the nurse in charge. Newlands has regular inspections from Boots pharmacy and they were satisfied with the systems and procedures followed. The inspector did note that some of the times of the medication rounds had been amended in order to be flexible to individual’s lifestyle. It would be beneficial if Boots pharmacy were consulted about the possibility of changing the Medication Record to the preferred time of the individual’s receiving the medication. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory complaints and adult protection procedures are in place in order to safeguard individuals. EVIDENCE: All individuals spoken with confirmed that they are aware of the complaints procedure and stated that they would not hesitate to speak with the Registered manager about any issues they may have. A copy of the complaints procedure is displayed and individuals receive a copy within their Service user guide. The inspector was informed that 4 complaints have been received since the previous inspection. The inspector examined the records for these and found them to be satisfactory. A Vulnerable Adults policy was in place, and the inspector was informed that these link in with the local multi-agency procedures. All of the staff team have undertaken some form of abuse training either by attending courses or through their NVQ training. The discussions held with the staff members confirmed their knowledge and awareness of the procedures and the action required in response to observing any abusive practices. The Registered manager informed the inspector that there are three referrals that are currently being investigated by external sources. The Registered manager is working with the investigators and has taken appropriate action when advised. The inspector examined the records and the money held in safe keeping for four individuals. The money was held separately and the balances crossreferenced to the transaction sheets for all individuals. Receipts are obtained for all purchases made on behalf of the people who live at Newlands. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals live in a homely, comfortable and safe environment. EVIDENCE: Newlands is purpose built to cater for individuals who use a wheelchair for their mobility, and is therefore very spacious allowing freedom of movement. All areas are accessible, and aids and adaptations are provided throughout to aid individuals in their daily lives. All areas of the home were well maintained and homely in design. The people spoken to confirmed that generally the home is well maintained although a couple of individuals did state that it would be beneficial to have a domestic working in the afternoon as currently the domestics only work mornings. This recommendation was discussed with the Registered manager who did state she would review the provision. The inspector was invited to look at some bedrooms by the respective individuals. The bedrooms was personalised to reflect their interests and preferences. All rooms had recently been redecorated and individuals confirmed that they were consulted about the colour schemes. All individuals are offered the choice of having a key to their room, and confirmed that staff “always knock before entering”. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Newlands benefit from being supported by an experienced, trained, competent and stable staff team, that have been recruited in accordance with adequate recruitment procedures that safeguards individuals from potential risk. EVIDENCE: During the discussions with the people who lived at the home they confirmed that they felt that adequate staffing level were maintained although they did state that at times there was some periods of short staffing. It was confirmed that when this occurs the management team do support the staff working directly with individuals. The inspector spoke with several staff members who were clear about their roles and responsibilities. Staff had a good detailed knowledge of individuals support needs and their aspirations. The staff team work from a person centred approach and in accordance with the ethos of the home, which is to encourage individuals to be independent and to have a fulfilling life with access to positive experiences. The people living at the home spoke positively about the staff stating that they “are supportive and helpful”, “friendly and nice”. They felt that the staff team are able to meet their support needs, and confirmed that they had a key worker with whom they have built good working relationships. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 18 From the discussions with the staff team it became evident that the morale at the moment is quite low due to the ongoing investigations in relation to the adult protection incidents. This has had an impact on the staff team who feel “a little uneasy” about the events that have occurred. The staff reported that they felt well supported by the nurses, but did state that the communication within the home needs to be improved. The Registered manager has until recently had a period of time where she has covered the management role at another home working part time in each establishment, this also has had an impact as Newlands has not always had someone to provide leadership, direction and support at all times. The Registered manager is now back on a full times basis, and is aware of the issues within the home. The inspector examined three personnel files to examine the recruitment processes of the home. There was evidence to support that all of the required checks had been undertaken and all the files contained records to confirm this. The inspector did note a gap in a staff member’s employment history and the Registered manager was advised to explore this, and to ensure that full history is obtained at all times. The inspector also noted that the application form requests only 10 years employment history rather than a full detailed one as required by the regulations. The Registered manager did state that the administrators amend the form to request a full history, but there was no evidence on this form to support this. There was evidence in the files to support that three newly employed staff have commenced an induction and received the mandatory training within a specific timescale. Staff confirmed regular training opportunities are available, and a computerised training matrix is available. Staff confirmed that they receive regular supervision and team meetings are held on a regular basis. The inspector was informed that out of the 53 staff currently working 37 have completed a National Vocational Qualification at Level 3 or above and 3 staff members were currently working towards this, therefore exceeding the required 50 target. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in the best interests of the individuals living there. The systems for individual consultation are good with a variety of evidence that indicates that resident’s views are both sought and acted upon. EVIDENCE: The Registered manager has had many years experience working in this capacity and with this client group and had a good knowledge about the individuals living in the home and about the support required in order to meet individuals aspirations. The ethos of the home is to enable and involve the people in all aspects of the running of the home and to promote independence in their daily lives in accordance with their individual needs. The observations made at the time of the inspection confirmed that staff practices are in accordance with these aims. Individuals confirmed to the inspector that they are consulted at all times about the daily running of there home and that they lead the routines. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 20 As mentioned previously regular resident meetings are facilitated in order to discuss aspects about the running of the home. The Registered manager links in with these meetings in order to be aware of individual’s comments and any action that needs to be taken. In addition to this there is a suggestion box for individuals and staff to use and a suggestion tree. The individual’s and their representatives and various stakeholders continue to receive an annual quality assurance questionnaire from the responsible provider asking for their views about various aspects about the home. A delegate of the provider visits the home regularly and completes detailed reports of these visits in accordance with regulation 26. A random sample of health and safety systems were checked and these were found to be satisfactory. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 X 3 X 3 X X 3 X Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 22 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 YA6 Regulation 15 (1) Requirement Timescale for action 01/02/07 2 YA18 17 (1) (a) 3 YA20 13 (2) 4 YA34 19 and Schedule 2 A care plan must be developed following the admission of an individual into Newlands, which covers all of the areas as outlines in National Minimum Standards 2. Assessments in relation to Tissue 01/02/07 viability, and nutrition must be completed following an individual’s admission and reviewed regularly. The medication administration 01/02/07 record must be signed following the administration of the medication, including prescribed creams and medicated shampoos. The application form must 01/02/07 request a full employment history, and any gaps in an applicant’s employment must be explored. Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 23 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 YA1 Good Practice Recommendations There should be evidence within individual’s files to support that they have been given a copy of the Service user guide and Statement of purpose. An assessment of the compatibility of the individual with the people living in the home should be undertaken as part of the pre-needs assessment. The ‘quick reference guide’ should be dated and under regular review. Care files should be cleared of any old information that is not relevant. Boots pharmacy should be consulted about changing the times for the medication rounds so that they are in accordance with the preferences of the individuals receiving them. Mar charts should be kept in the individual’s rooms in a discreet place (if only these items are recorded on it) to allow staff to sign when administering the medicated creams and shampoos. Care staff should receive medication training if they are to undertake these tasks. Feedback should be regularly sought in relation to the environment to ensure it continues to meet individual’s needs due to the size of the home. YA2 YA6 YA20 5 YA24 Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 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 Newlands House Cheshire Home DS0000002158.V302990.R01.S.doc Version 5.2 Page 25 - 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!