Inspection on 13/06/06 for North Shore Care Home

This inspection was carried out on 13th June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

North Shore Care Home 22/05/07

North Shore Care Home 27/11/06

North Shore Care Home 15/11/05

North Shore Care Home 05/07/05

North Shore Care Home 11/11/04

North Shore Care Home 27/04/04

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

CARE HOMES FOR OLDER PEOPLE North Shore Care Home North Shore Care Home 3 St. Stephens Avenue North Shore Blackpool Lancashire FY2 9RG Lead Inspector Mrs Jackie Riley Unannounced Inspection 10:00 13 /28th June 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address North Shore Care Home DS0000006065.V292617.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. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service North Shore Care Home Address North Shore Care Home 3 St. Stephens Avenue North Shore Blackpool Lancashire FY2 9RG 01253 351824 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) Mrs Brenda Christine Bell Mr. Keith Bell Care Home 25 Category(ies) of Dementia (25) registration, with number of places North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A qualified nurse must be on duty at all times in the home. Date of last inspection 15th November 2005 Brief Description of the Service: North Shore Nursing Home is an establishment providing residential and nursing care for up to 25 residents, who suffer from dementia. The home is situated in a residential area of Blackpool. There are three floors and a rear extension. There are twenty-three single rooms of which sixteen are en-suite. The home is equipped with an appropriate range of aids and adaptations suitable to meet the needs of residents living at the care home. There is a written Statement of Purpose outlining the home purpose and function, however this has not been reviewed, and there is no other information in the Service User Guide, which would inform people who use the service of what is available to them. The most recent inspection report was not seen to be freely accessible to users of the service. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first of two unannounced site visits, scheduled from April 2006 to March 2007. This unannounced inspection took place over two site visits using information gathered through the pre inspection process. In total 9 hours were spent at the home. During the second visit two inspectors were at the home. The inspection included discussion with a number of residents, however there were constraints in communication due to the level of dementia affecting the residents. Discussion with management and members of staff on duty took place, which provided general information about the service. In addition there were fourteen comment records received prior to the inspection process, of those comments there was general concern as to staffing levels in the home. There was also concern regarding the amount of information provided to relatives in respect making complaints. Overall the comments received said they were happy with the general care in the home. The inspection included observation of records, discussion with the manager and staff and included a tour of the home. Since the previous inspection there have been no complaints investigated by the Commission for Social Care and Inspection (CSCI), however concerns were expressed during the inspection process and were investigated as part of this inspection, the report will reflect areas where there were concerns in the main body of this report. What the service does well: What has improved since the last inspection? Supervision of staff is now being undertaken on a regular basis, so that staff are supported. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 6 There has been development in how records are maintained. A new manager is currently updating all records and systems in the home so that they are in place for the benefit of users of the service, and so that staff have a system they can work with effectively. What they could do better: There is a requirement for a manager registered with the Commission for Social Care and Inspection (CSCI) to be responsible for the day-to-day management of the home. Recruitment procedure must follow regulations in that all new members of staff must have undergone ‘fitness’ checks prior to commencing work in the home to make sure they are safe to work with a vulnerable resident group. Staff training in the area of dementia and associated areas specific to the resident group living at the home, must be provided to all staff so that they are equipped with the knowledge and skills to deliver a good level of care to residents. There must be evidence staff carry out personal care to residents so that hair and nails are looked after on a regular basis. Staff responsible for medication administration and recording must receive training in this area so that they are competent to undertake the responsibility. All staff must receive training in adult protection and whistle blowing procedures so that they understand the issues around adult protection and know what procedures to use should it be suspected. In addition they will feel protected if they need to use the homes whistle blowing procedure. When residents are being admitted to the home, there must be an assessment plan in place so that the home knows what the needs of that person are. The home must endeavour to make sure all users of the service know how to make complaints so that they are not disadvantaged. As previously required the home must examine appropriate activities for people suffering from dementia conditions, so that activities are appropriate to meet their needs. The home must ensure there is open access to protective gloves and aprons for the prevention of the spread of infection. The home must make sure there are sufficient staff on duty at any time in order to meet the needs of users of the service. The registered provider must make monthly monitoring visits and provide a copy of the report for these visits and make them available to the Commission North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 7 of Social Care and Inspection (CSCI), so that there is evidence the homes running is being monitored for the benefit of users of the service. There is currently no formal quality review system, which would monitor how the home is meeting its stated aims and objectives. The home must follow its protocol at all times in the management and safe keeping of resident’s monies. 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. North Shore Care Home DS0000006065.V292617.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 North Shore Care Home DS0000006065.V292617.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The quality outcome is adequate. This judgement has been made using available evidence including a visit to the service. Resident’s needs are assessed prior to admission to the home; however there should be evidence information is obtained from previous placements. EVIDENCE: The inspection sampled three residents care plans. It was noted two had in place pre admission assessments, and professional assessment identifying individual needs, which inform the home of the specialist needs of the resident. In one case there was no evidence of pre assessment, which had the potential of leaving staff unable to deliver the specialist care required. In this instance management and staff were working with other professionals to deliver the level of care required. Staff spoken to commented, on how they are informed of residents specific needs at the time of admission. The use of key working is seen by the home to be advantageous in that staff can associate with individuals, and this helps with the level of continuity, which is important for people suffering from dementia. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality outcome is adequate. This judgement has been made using available evidence including a visit to the service. Residents healthcare needs are met by the systems in place, however care to residents hair and nails was poor. There must be ongoing training for all new staff responsible for drug administration so that people are protected by safe systems and staff that are competent in medicine control. EVIDENCE: There has been recent improvement in how the home records residents healthcare needs, in that the records have been updated and provide information relating to the indivdiual healthcare needs of residents living at the care home. Service user plans show how an individuals needs are being met. The district nursing service visits the home when necessary. A review system is in place, which is now being acted upon according to the homes poicy and systems to monitor indivdiual changes in residents needs. There is a requirement to make sure specific attention is given to maintain residents nails, hair and regular shaving as part of meeting individual care needs, and for the comfort of residents living at the home. At the time of the site visits it was noted some gentlemen were unshaven even though it was North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 11 lunchtime. In general residents nails were seen to be long and in some cases dirty. Some femail residents had unacceptable facial hair, which can easily be managed. This lack of attention in general care is poor. All staff responsible for drug administration must receive regular updated training, and it is essential all new staff receive this training if they are to be responsible for the administration of medication, for the protection of residents and staff concerned. Areas of Privacy and Dignity are recognised by the staff team in that observations confirmed staff respect Privacy and Dignity when assisting with personal needs. Staff induction focuses on this area specifically so that all staff are made aware of how to ensure individual Privacy and Dignity is upheld. Observations made and staff spoken to confirmed they know how to make sure this area is addressed. One staff member commented on how important this is especially for residents with dementia as there are times when they can display behaviour, which would undermine their dignity. Staff spoken to recognised the importance of being sensitive when managing this sort of behaviour, so that residents dignity is protected at all times. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The quality outcome is adequate. This judgement has been made using available evidence including a visit to the service. There are limited activities available in the home to meet the specialist needs of an elderly resident group with dementia. Residents have choice in all aspects of their daily lives, however this is based upon individual risk. Good nutrition is seen as essential in meeting the dietary needs of residents. EVIDENCE: There has been no development in the homes activity programme since the previous site visit. Entertainment is provided on occassions. At the time of one site visit music was being played with staff interacting with some residents who could associate with the music, but this should be developed further in areas which are being used for people with specific dementia problems so that people living in the home have access to a range of activities specifically designed to meet the needs of an ageing group of residents, who have a range of levels of dementia. Staff spoken to gave examples of assisting indivdiual residents to go out into the community and experience activities which provides them with stimulation and to be with other people beyond the home. Individual residents choose to get up later as seen during the site visit. There is a designated chef on the premises, who was spoken to at length during the site visit. It was confirmed that residents who require a ‘soft’ diet North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 13 are presented with food in a way which retains it appearance and remains appetizing, so that they are not disadvantaged in any way. There was evidence of a balanced and nutritional diet, with special diets catered for. Staff spoken to know the individual likes and dislikes of residents when it comes to choice of food. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality outcome is Adequate. This judgement has been made using available evidence indlcuding a visit to the service. There is access to complaint information which is available in the homes written literature. There are policies and procedures for adult protection however all new staff must receive training so that all users of the service are protected. EVIDENCE: Residents ability to make independent complaints is hindered due to the dementia conditions suffered by them. Information regarding how to make a complaint is provided to relatives and friends so that they know how to make a complaint to the home or independently of the home. Five of the comments received prior to the inspection said that people do not know how to access a complaints procedure, therefore there is a requirement to ensure all relatives and users of the service are clear in the process so that they are not disadvantaged in any way. The home has abuse policies and procedures in place, but incomplete training records did not confirm the numbers of staff who have attended this training. There is a requirement to ensure all staff working in the home receive training to make sure they are competent in the knowledge of how to recognise abuse, and what action must be taken, this includes access to a whistleblowing policy, so that staff feel they are protected. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The quality outcome is adequate. This judgement has been made using available evidence including a visit to the service. The premises provide an environment in which residents can feel comfortable. The home is well maintained both externally and internally. EVIDENCE: The homes environment is generally adequate in that the home is well decorated, with ongoing maintenance both internally and externally, so that all general tasks can be undertaken when identified as needing attention. The flooring in the entrance hall has been changed to non-slip laminate flooring, which is seen as more appropriate for maintaintenance and so that offensive odours cannot develop. There should be no assumption residents with poor mobility will not access the dining areas of the home at mealtimes, therefore dining areas should be fully utilized at mealtimes.At the time of the site visit and through concerns raised during the site visit it was confirmed there are currently only twenty-one (21) dining chairs for twenty-five (25) residents. The inspector was informed this is North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 16 due to not all residents choosing to or being able to, physically be at the dining table for reasons of illness or disability. There are policies and procedures in place for infection control, however there is a requirement to make sure all staff have a clear understanding of infectious transmissions so that they can make suitable referrals for medical assessment. At the time of the site visit incomplete training records could not confirm whether staff have attended training in insection control. Care staff spoken to did not have a clear understanding of infection management. There must be on going access for all staff to obtain protective gloves and aprons, so that there is no concern about the transmission of infection. At the time of the site visit staff said they have access to protective gloves and aprons only after asking for them from the manager. Designated staff are responsible for domestic tasks and laundry facilities, however the staffing rota must clealry show when domestic and laundry personel are on duty, so that this does not impede on the care staffs work in the home. Staff spoken to said the use of care staff at week-ends for domestic and laundry tasks affects the numbers of care staff, which has the portential to affect the level of care provided to residents. The home is well decorated and indivdiual rooms seen are personalised Residents are encouraged to include evidence of their past interests and activities, which helps in recall and reminicence for people with dementia. One resident spoken expressed joy and happiness when discussing their past career, and there was evidence this is focused upon by the staff team, including making sure there is evidence in the residents room, which relates to their career, hobbies etc. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality outcome is poor. This judgement has been made using available evidence including a visit to the service. Staffing ratios are based upon the dependency levels of residents occupying the home,at any one time. Staff training is in place but needs to be ongoing for all staff.Staff recruitment procedures are poor and must be improved to protect residents . EVIDENCE: The level of staffing is based upon the needs of residents occupying the home at any time. There is a requirement to ensure there are adequate staffing levels in place to make sure residents are protected at all times. At the busiest times of the day there must be enough care staff to provide a consistent level of care, so that residents care is not compromised. Seven of fourteen comments received from relatives said there were not always enough staff on duty. This is an area of concern, and must be looked at by the home so that there are sufficient staff in numbers to meet the needs of residents on a twenty- four hour basis. Staffing rotas seen provided evidence of there being minimum staffing levels in the home, however the inspector was informed staff will at times work between this home and its sister home opposite. This practice cannot continue and staffing must reflect the names and number of staff seen on the rota. Staff must also be used for their identified roles, and not other duties, so that the level of care is continuous and for the benefit of the residents. There is a requirement to make sure all care staff recruited, do not commence employment unless all fitness checks are complete and there is evidence of North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 18 this on all staff files, for the protection of residents. At the time of the inspection staff files were not complete, those examined had Criminal Record Checks in place however these had been obtained after staff had been employed in the home. This is unsatisfactory and potentially puts residents at risk. Two staff records were not available on the premises for inspection, which again is unsatisfactory. A local Private Care Trust carries out staff training. There must be evidence of this on individual staff training files so that there is a clear record of the ability of staff to provide a good level of care to residents. Staff training files were incomplete, and did not fully provide evidence of who has attended training and in what areas. Staff training must include areas specific to the needs of people with dementia, so that staff understand and recognised the specialist needs of people with dementia and to ensure residents are not disadvantaged in any way in how they receive care. Care Staff responsible for medication administration must receive training so that they are competent to carry out the tasks. A staff member was concerned care staff were administering medication and this was being signed for by another trained member of staff. The inspection could find no evidence of this, but management must ensure this practice is not occurring at any time, so that residents are not put at risk. Staff must have access to training in adult protection so that people are safe and in addition they should have the knowledge and understanding of the homes whistle blowing policies and procedure so that they feel confident to use and to feel protected. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,36,38 The quality outcome is poor. This judgement has been made using available evidence including a visit to the service. There remains not manager registered with the Commission for Social Care and Inspection (CSCI) General management must be improved for the benefit of users of the service.Quality Assurance systems need to be improved so that residents views are monitored and acted upon. EVIDENCE: There remains a requirement for there to be a manager registered with the Commission for Social Care and Inspection (CSCI). At the time of inspection a manager has been employed for the day to day management of the home, and had begun to update systems and records for the benefit of all users of the service. One staff member said “I can go and talk to the manager anytime”. General management systems must be improved so that the running of the home is for the benefit of residents who live there so that they are not disadvantaged in any way, in that the registered provider must make monthly North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 20 monitoring visits to demonstrate the home is being run in accordance with its stated aims and objectives and for the benefit of all users of the service, and to make sure the service is safe. A report must be completed in this respect and a copy of the report must be sent to the Commission for Social Care and Inspection (CSCI). Revised recording systems are being introduced, so that staff can follow the records and use them effectively. Staff spoken to said the manager is available at all times using an open door policy. Supervision has now been resumed, and records are improving in the recording of personal supervision. There is no evidence of a quality assurance and quality monitoring system, which would measure how the home is doing in respect of meeting its stated aims and objectives. There are serious concerns as to recent management of residents monies, in that signing money in and out has not been cross checked in order to comply with the homes protocol and to ensure that residents finances are protected. This has been addressed by the registered provider. At the time of inspection all financial records are being maintained by a support manager, with residents monies being safely recorded and maintained complying with the homes protocol. Equipment in the home is serviced in accordance with annual safety checks by contractors for the safety and well being of users of the service. North Shore Care Home DS0000006065.V292617.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 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 2 X X X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X 2 X X X 2 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 1 2 X 3 North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 22 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 OP31 Regulation 8 Requirement There must be a suitably qualified, competent registered manager to operate the care home. Previous timescale of 31/01/06 not met. There must be evidence of a full assessment of care needs prior to a person entering the home. There must be good general maintenance of hair, nails and shaving of all residents. All staff responsible for drug administration and recording must receive appropriate training to ensure they are competent in the task. The home must ensure there is an activity programme in place to meet the needs of people with dementia. Staff must receive training in Adult protection and whistle blowing for the protection of users of the service. There must be sufficient levels of staff on duty including additional staff at the busiest times to meet the needs of residents. All new recruits must have in DS0000006065.V292617.R01.S.doc Timescale for action 31/08/06 2 3 4 OP3 OP8 OP9 14 12 18 31/08/06 31/08/06 31/08/06 5 OP12 16(2)(n) 31/10/06 6 OP18 18 31/08/06 7 OP27 18(a) 14/07/06 8 OP29 19 30/06/06 Page 23 North Shore Care Home Version 5.2 9 OP30 18 10 OP33 24 11 OP16 22 12 OP26 13(c) 13 14 15 OP28 OP29 18 17 26 OP31 16 OP35 17 place satisfactory fitness checks prior to commencing work in the care home. All staff must receive appropriate training to be competent in carrying out their individual roles. The home must develop a system to measure the quality assurance in the home in how it meets its stated aims and objectives. The home must make sure users of the service including relatives and friends know how to make complaints. The home must make sure there are suitable arrangements to prevent the spread of infection at the home. At least 50 of care staff must have achieved NVQ 2. All staff records must be available at all times for inspection. The registered provider must carry out monthly unannounced monitoring visits and a copy of the report must be provided to the Commission for Social Care and Inspection. The home must ensure the management of resident’s monies follows all protocol in respect of maintaining records to ensure the safety of resident’s monies. 30/11/06 30/11/06 31/07/06 31/07/06 30/11/06 14/06/06 31/07/06 14/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000006065.V292617.R01.S.doc Version 5.2 Page 24 North Shore Care Home 1 2 Standard OP36 OP22 The home should continue to develop its supervision programme in order to support individual staff members in their role and for their personal development and training. There should be no assumption to move residents to dining areas and leave them in wheelchairs. Residents should be seated at the table if at all appropriate. North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 North Shore Care Home DS0000006065.V292617.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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