Inspection on 22/08/07 for Eton Park

This inspection was carried out on 22nd August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Eton Park 18/06/08

Eton Park 19/12/07

Eton Park 26/04/06

Eton Park 04/01/06

Eton Park 11/10/04

Eton Park 21/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE North View Care Home Owthorpe Road Cotgrave Nottingham NG12 3PU Lead Inspector Joanna Carrington Key Unannounced Inspection 22nd August 2007 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address North View Care Home DS0000060190.V339496.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 View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service North View Care Home Address Owthorpe Road Cotgrave Nottingham NG12 3PU 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) 0115 989 9545 0115 989 9311 Mr David Hetherington Messenger Vacant Care Home 82 Category(ies) of Dementia (50), Old age, not falling within any registration, with number other category (76), Physical disability (4), of places Terminally ill (2) North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 82 (OP) That include 4 (PD), 2 (TI) & 50 (DE 55 years & Over) Date of last inspection 26th April 2006 Brief Description of the Service: North View is a large purpose built home on the outskirts of Cotgrave five miles to the south of the city of Nottingham. There are no amenities within walking distance of the home, which is situated at the top of a hill, not far from the A46. North View has a Mini bus service to provide transport to and from the home for service users families and a small fee is charged. In the village there is a library, health centre, shopping precinct, restaurants and café, churches and a leisure centre plus other sporting facilities. The home provides for up to eighty-two people, aged 65 years and over, with nursing and residential care needs, with four beds available for service users with physical disabilities. Out of 78 single rooms, 18 are en-suite. There are two double rooms, neither of which is en-suite. The fees, at the time of this inspection range from £290 to £360 per week. This is dependent on whether residents are placed needing nursing care or residential care. Copies of inspection reports are available to residents and other stakeholders upon request. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit, as part of the home’s key inspection took place on 22nd August 2007. Inspections focus on outcomes for people that use the service. In order to do this the main method of inspection used at the site visit was ‘case tracking’ which meant four residents were selected and their support was tracked through discussion with them and with staff, checking their care records and observing practice. An ‘expert by experience’ was used at this inspection. The role of the ‘expert by experience’ is to talk with residents. The ‘expert’ is arranged through the charity Help the Aged. An ‘expert by experience’ means they have experience and skills to be able to speak with residents at an inspection. Their experience could be from previous work or they may have used care services themselves. The ‘expert by experience’ spoke with eight residents and two relatives. The inspector spoke with seven staff members. The manager starting working at the home on 20th August 2007 and was available throughout the inspection for discussion and feedback. A sample of staff records were also looked at to make sure staff members are checked before commencing employment and are trained to meet residents’ needs. Information about a home that is collected before the site visit is also used as evidence to make judgements. This information could include notifications, information from other professionals and users of the service or their relatives, and also from any surveys that are sent out. Four relative surveys and four resident surveys were returned before the inspection. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well at and what they need to improve on. The AQAA was returned before the site visit. The surveys and AQAA document were used to plan the site visit and also used as evidence to support judgements in this report. What the service does well: The service does well at making sure prospective residents’ needs are assessed before they move to the home. This is to make sure that the home is suitable. Prospective residents are able to visit the home before deciding to move there. Residents are able to maintain relationships with family and friends because they are welcome to visit them in the home anytime. Residents said they were able to make their own choices regarding mealtimes and how they wished to spend their time. Residents’ monies are kept safe and audited regularly. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Even though there are activities provided an activities co-ordinator cannot provide activities for up to 82 residents; spending time socially with residents should be a fundamental role of care staff. Activities should be personcentred, which mean they are geared around individuals’ personal interests. Residents with dementia do not have life stories in their care plans which mean there is very little information about their past. This makes it difficult to provide good quality care to people with dementia. Care plans in general do not include enough information about individuals’ needs and they are not being kept up to date with important information on how staff should give support. Health and safety could be managed better by making sure there are the necessary risk assessments for moving and handling and the use of bed rails. When restraint is being used to promote a resident’s safety this must be documented in the care plan and risk assessed to make sure this is the most appropriate measure. This is also important for maintaining residents’ dignity. Some residents commented that there are times when some staff will shout and “[tell them] off like children”. The handling of complaints and allegations could be done better, in order to assure residents that they are being protected and their concerns are taken seriously and acted on. Staffing arrangements must improve to make sure there is enough staff available to meet the needs of residents and to make sure staff have the necessary skills to be able to care for residents. Notifications to the Commission must improve otherwise the home cannot be effectively regulated in how well it is providing for the health and welfare of residents. Please contact the provider for advice of actions taken in response to this North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 7 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. North View Care Home DS0000060190.V339496.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 View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5 (this home does not provide intermediate care) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admissions procedure is good in that prospective service users do not move to the home until their needs have been assessed and they have had the opportunity to visit the home but residents and relatives do not have enough information about the service to make an informed decision to move there. EVIDENCE: The placing authority’s community care assessment was seen on residents’ files and the dates on the assessments indicate that these were obtained before residents’ were offered a place and moved into the home. A resident commented in their returned survey that “before [they] came in [they] had a look around and though it was a nice place” North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 10 The service user guide was not looked at during the inspection but all relatives and residents spoken with could not recall seeing a brochure or any other written information about the service when they moved in. North View Care Home DS0000060190.V339496.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 poor. This judgement has been made using available evidence including a visit to this service. Care planning arrangements are failing to meet individual needs of residents and to uphold their dignity. Medicine management does not promote the safety of residents. EVIDENCE: A staff member spoken with gave examples of how they know when a case tracked resident with communication needs is happy or when the resident does not want to do something. All that is recorded on the care plan is “observe other gestures of communication and be familiar with it” but there is no information on the specific gestures the resident may make and what these mean. When talking with staff about a case tracked resident it was brought up how this resident is currently dealing with grief and bereavement. Despite staff North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 12 identifying this as something very pertinent to this resident it is not even mentioned in their care plan for ‘low mood’. Another resident was identified for case tracking because restraint was identified in the Annual Quality Assurance Assessment (AQAA). The manager explained that the restraint is a belt on their recliner chair to prevent the resident getting rocking and falling out. There was no mention anywhere in the care plan of the use of the belt, no risk assessment or evidence of consultation with a relevant professional or relative. Staff spoken with demonstrated they know how to maintain residents’ dignity and respect when providing care and support. Some residents spoken with, however said that some staff can occasionally be irritable and impatient and that residents are occasionally shouted at and “told off like children”. Two of the complaints referred back to the provider alleged that some staff members talk to residents inappropriately. Care plans and daily records showed that other healthcare professionals such as dieticians and speech and language therapists are involved in residents’ care when there is a need. The diary also indicated that GPs are contacted when necessary. There were detailed care plans for catheter care and using a PEG feed tube. Four drugs were audited, including one controlled drug. Errors were found with all four drugs. Remaining quantities did not tally with how many drugs had been signed as given. In the controlled drugs register the same quantity is recorded two days in a row, when one tablet should be given daily. This has been acknowledged because there are question marks next to the entries but no evidence of any action taken to address the error. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lead a lifestyle in which they have some control and some stimulation. However, a person-centred approach is not adopted, which means personal social and recreational needs and preferences are at risk of not being met. EVIDENCE: Staff members spoken with gave examples of how they enable residents to maintain control of their lives, for example giving choices at meal times, choices with clothing and how residents wish to spend their time. A resident states in their returned survey that they don’t like the activities but “ [they] do enjoy watching television in their own bedroom”. None of the residents spoken with could recall whether they have been asked if they wish to vote in local or general elections. The acting manager identifies in the Annual Quality Assurance Assessment that the recent recruitment of an activities organiser has improved the provision of social activities for residents. Some positive comments were made about activities in surveys. Residents take part in bingo, arts and crafts and watch outside entertainers such as magicians and singers. The activities North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 14 co-ordinator and other staff members were observed playing games and spending time with residents. A care plan seen for social interests reads “gather more information from family on hobbies” but there is no other information included anywhere. Residents with dementia do not have life stories and there is very little information about their past and their interests. The new manager identified this herself and intends to get the activities organiser to work on this area. Residents confirmed that their family and friends can visit any time and the relatives spoken with confirmed they always feel welcome. All residents spoken with described meals as being “reasonable” or “adequate”. All residents said that mealtimes were flexible; they could have their meal at a different time if they wanted and there is always a choice. The manager and staff spoken with explained that the arrangements for mealtimes have been reviewed. Menus have been updated and new arrangements for kitchen staff and the serving of meals are soon to be implemented. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents cannot be assured that their concerns, complaints and allegations are appropriately acted on, which places residents at risk of unsatisfactory care and abuse. EVIDENCE: Since the last key inspection the Commission have received five complaints, which all have been referred back to the provider for investigating. All five complaints have been recorded under the home’s complaints procedures. There are three other recorded complaints, two of which have been directly received by the home and one that was referred from Social Services. The outcomes to these complaints are mostly not upheld or unresolved, despite some common themes arising from these complaints, for example, staffing arrangements, moving and handling issues and poor treatment of residents. (Evidence from this inspection also indicates problems in these areas, which are referred to in relevant sections of this report.) A response to one of the complaints states that the relative had on occasion approached staff with complaints about hygiene but did not record these as complaints because staff had thought they had dealt with the issues. Another response to a complaint North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 16 included that there had not been a lot of complaints, which is irrelevant and not actually the case. There have been two safeguarding adults investigation since the last key inspection. The outcomes of both these investigations were inconclusive. Social Services were involved in both investigations and evidence was supplied to the Commission at the time indicating that the safeguarding adults procedures were properly followed. Staff spoken with demonstrated an understanding of what is abuse and of their responsibilities to report abuse. Staff spoken with confirmed that the whole staff team are in the process of attending safeguarding adults training. A staff member spoken with disclosed during the inspection that approximately two months ago they had reported an incident they witnessed to the acting manager but as far as they were aware nothing had been done about it. The new manager had no knowledge of this incident. The safeguarding adults policy and procedure had not been invoked at the time and the staff member who was the alleged perpetrator had not been suspended. A referral was made to Social Services after the inspection. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements to the environment mean that residents are afforded a clean, safe and comfortable home to live in but it is not an enabling environment for residents with dementia to orientate themselves in. EVIDENCE: Residents commented in their surveys that the home is “always fresh and clean”. On walking around the premises the home was clean and general décor pleasant and well maintained. Lighting in the home has improved since the last inspection. The bedrooms seen are personalised to suit individuals’ taste with their own pictures and ornaments. The manager at the time of the last inspection confirmed with the Commission that the paving slabs in the garden had been levelled. However, some North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 18 residents reported that they would like to spend time in the garden but they had been told it was unsafe for them to wonder there and so this has not been facilitated. There are no pictures or other subtle methods such as using certain colours in the décor or items displayed to enable people with dementia to orientate around the home and to find their bedroom. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staffing arrangements are failing to ensure residents are in safe hands at all times. EVIDENCE: Staff members spoken with made mainly positive comments about training. A new staff member reported that they have been given a workbook on the Common Induction Standards. Staff members reported having dementia training annually and mandatory health and safety updates. The four staff files looked at still do not contain enough evidence / certificates for courses attended and when asked the new manager confirmed that she has not got a general record of staff training and attendance. The Annual Quality Assurance Assessment confirms that the home has still a significant way to go to achieving 50 of the care staff team qualified to National Vocational Qualification level 2. Three relative surveys raised the issue of low staffing levels. Two residents spoken with said staffing levels were inadequate and a resident has stated in their survey that they have to wait a long time sometimes for staff to take them to the toilet. A staff member spoken with said, “sometimes residents can be waiting long time for assistance…when doing baths or feeding” and “some [staff] look at buzzers and ignore them”. A staff member also reported that when the home is short staffed residents do not get their baths. It was North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 20 reported that there are days when there could be up to four staff members out accompanying residents on healthcare appointments and there have been training afternoons at the home, which have left as little as two staff working one of the floors. Entries in the diary confirmed this. Another concern raised by staff members, relatives and residents during the inspection, in surveys and in complaints are the number of care staff at the home from overseas that do not speak or understand English very well. Residents reported that they do not understand some of the staff while some staff members do not understand them. A staff member explained that the language barrier means some staff do not understand instructions and are “incapable” of doing the work. Discussion with staff members indicated there is a very divided team with separate groups emerging. On all four staff files there was evidence that criminal record bureau checks had been obtained for all staff. However, one staff member’s pova first check was dated after they commenced their employment. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Management and administration at the home has been unsatisfactory which means the home has not run in residents’ best interests and has not protected their health and safety. EVIDENCE: A new manager has been appointed and started working at the home two days ago. The Commission was not notified of the new management arrangements. The previous registered manager left her post earlier in the year and up until two days ago there has been an acting manager in post. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 22 A relative comments in a returned survey that “the home has gone down hill” and “it was very good 12 months ago but I am not so happy now”. There have been a significant number of complaints made about standards at the home, including two complaints alleging that not all staff members are moving and transferring residents safely. Investigations carried out by the acting manager concluded that these complaints were not upheld. At this inspection however, although staff members reported having moving and handling training some also admitted to not always using the correct moving and handling techniques when assisting residents because of lack of time and not enough staff. A staff member said that she felt pressured into doing the wrong thing and as a result felt unsafe. Another staff member said that they had seen people lift residents up with their hands. Residents do not have moving and handling risk assessments that comply with manual handling legislation. The risk assessments seen do not refer to the various tasks, equipment used and the load. No risk assessments were seen for the use of bedrails even though care plans identified they were in use. The Annual Quality Assurance Assessment confirms there have been 20 deaths in the home in the last 12 months; only 8 deaths have been notified to the Commission. At the last key inspection consultation with residents was identified as being poor. Since then feedback questionnaires were sent out to residents in November 2006 but nothing has been done with this information. There have been some resident meetings, which did show that some changes had been made as a result of comments made. For example, prunes being introduced for breakfast. The new manager reported that she had met with residents and relatives the day before to introduce herself and was made aware of some of the views and concerns already highlighted in this report. The manager intends to introduce a post box so that residents and relatives can anonymously pass on their complaints and suggestions if they feel more comfortable initially doing it this way. The new manager and administrator confirmed that there have been unannounced provider visits but there were no records available. Residents’ monies were checked and found stored securely. Regular auditing of these monies, involving a line manager visiting the home has now been implemented. One resident’s money and records of transactions checked and were in order. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 10 1 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 1 17 X 18 1 3 X X X X X X 3 STAFFING Standard No Score 27 1 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 1 2 X X X 1 1 North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 24 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 Standard OP1 Regulation 5(2) Requirement Residents or their relative / representative must be provided with a copy of the Service User Guide. This is so that residents and prospective residents have enough information about the service they receive. Residents must have care plans that contain information about their individual needs and how these needs are to be met. This is to ensure care is personcentred and takes into account individuals’ wishes and preferences. Care plans must be kept under review and updated to reflect support being given. This is to ensure residents’ receive the care they need in an appropriate and consistent manner. There must be suitable arrangements for the recording, handling and safe administration of medicines. This is to ensure residents are given their medicines as prescribed. Staff members must ensure that the dignity and respect of DS0000060190.V339496.R01.S.doc Timescale for action 01/12/07 2 OP7 15(1) 01/12/07 3 OP7 15(2) 01/10/07 4 OP9 13(2) 14/09/07 5 OP10 12(4) 10/09/07 North View Care Home Version 5.2 Page 25 6 OP10 13(7) 7 OP12 16(2)(n) 8 OP16 22 9 OP18 13 10 OP27 18(1) 11 OP27 19(1) 12 OP29 19(4) residents is upheld at times. This includes not shouting at residents. When any form of physical restraint is used this must be risk assessed beforehand and evidence of consent from the resident or relative / representative. This is to ensure this is the only means to protect the safety and welfare of the resident and is not used inappropriately. Residents must be consulted over the choices of activities so that activities can be arranged based on their individual needs and interests. All complaints received by the home must be recorded and acted on in accordance with the complaints procedure and fully investigated. This assures residents and their relatives / representatives that their concerns are taken seriously and will help make any necessary improvements to the service. All allegations / disclosures of abuse must be acted on in accordance with safeguarding adults procedures. This is to ensure the safety and protection of residents. The numbers of staff on shift must be appropriate to the needs of residents. This is to ensure residents are safe and that their needs are met. Care staff that work at the home must have the skills and abilities to carry out the role. This is to ensure residents needs are met and they are safe. Staff members must not commence employment until the return of a criminal record bureau check or at least a POVA DS0000060190.V339496.R01.S.doc 10/09/07 01/11/07 01/10/07 10/09/07 10/09/07 01/11/07 10/09/07 North View Care Home Version 5.2 Page 26 13 OP30 17 14 OP32 26 14 OP37 37 15 OP38 13(4) 16 OP38 13(5) first check. There must be evidence of what training individual staff members have completed. This was a recommendation at the last inspection; this is now made a requirement. Monthly, unannounced provider visits must be carried out and reports of these visits supplied to the Commission. This is to ensure improvements are made to the running of the home and to provide support to the new manager. All deaths (and all other incidents as specified under this regulation) must be notified to the Commission without delay. This is so that the home can be effectively regulated. The use of bed rails must be risk assessed for each resident that uses them. This is to ensure this is the safest measure for that individual. Residents that require assistance with moving and handling must have a moving and handling risk assessment that complies with manual handling operations legislation and this plan must be adhered to at all times. This is to ensure the health and safety of both residents and staff. 01/12/07 01/11/07 10/09/07 01/10/07 01/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations Residents should be given the opportunity to access the DS0000060190.V339496.R01.S.doc Version 5.2 Page 27 North View Care Home 2 OP14 garden, with support if required. Residents should be given the opportunity to vote in local and general elections. North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 North View Care Home DS0000060190.V339496.R01.S.doc Version 5.2 Page 29 - 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. 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