Inspection on 30/07/07 for Northfield

This inspection was carried out on 30th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Northfield 22/03/08

Northfield 06/06/06

Northfield 22/02/06

Northfield 12/09/05

Northfield 15/09/04

Northfield 23/04/04

Northfield 29/01/04

Northfield 10/07/03

Northfield 21/01/03

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

CARE HOMES FOR OLDER PEOPLE Northfield 85 George Street Ryde Isle Of Wight PO33 2JE Lead Inspector Annie Kentfield Unannounced Inspection 30th July 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Northfield DS0000012517.V341332.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. Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Northfield Address 85 George Street Ryde Isle Of Wight PO33 2JE 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) 01983 562064 F/P 01983 562064 northfieldresidential@hotmail.co.uk Mr Anthony George Kingsley Carlyle Obeyesekere Mrs Pauline Edith Obeyesekere Miss Melanie Jane Paterson Care Home 24 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (21), Physical disability (1), Physical disability over 65 years of age (3) Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. MD(E) applies to the current service users only and will cease upon those service users no longer being accommodated at the home. Accommodate one named service user in MD category who is 64 years of age. 6th June 2006 Date of last inspection Brief Description of the Service: Northfield is a care home for up to 24 older people. The home is a large 3 storey detached property with a ground floor extension. It is located close to the centre of Ryde and within walking distance of the sea front, ferry, rail links and shops. There is off road parking at the front of the home. Access for those with a physical disability or mobility problem is possible as the home has a passenger lift and stair lift from the street to the front door. The passenger lift, however, does not serve those residents accommodated in the ground floor extension and there are steps from the ground floor extension to the lift. At the rear of the home there is a large conservatory, which leads onto the garden. The current scale of charges is £369.25 - £452.41 per week. There are additional charges for chiropody, hairdressing, toiletries, newspapers and transport. Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report presents a summary of information received about Northfield since the last inspection of 6th June 2006. Included in the report is information supplied by the registered manager in the Annual Quality Assurance Assessment as well as comments received from residents, care staff, visitors and health and social care professionals during an unannounced visit to the home on 30th July 2007. Comment cards were sent to visitors and other health and social care professionals but none were returned. One inspector was in the home from mid morning until early evening and spoke to the manager, some of the staff, and some of the residents in the privacy of their rooms or in the communal areas. Two immediate requirements were made with regard to the safety of residents: Window restrictors were not fitted to the first floor sitting room windows and three new residents had been admitted to the home without having an assessment of their care needs carried out and therefore no risk assessments in place. Following the inspection visit, the registered owners of the home confirmed that these safety requirements have now been met. What the service does well: What has improved since the last inspection? Following concerns expressed in two complaints about the home at the time of the previous inspection about poor practice in respecting residents’ privacy and dignity; the manager has addressed this issue with staff by providing further training and written policies for staff to follow. Discussion with one health care visitor to the home confirmed that practice in the home has improved with regard to maintaining privacy and dignity. Since the last inspection the windows in the first floor sitting room have been replaced. The corridors and stairwell in the main building have been decorated. Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 6 Some training has been arranged for care staff in the area of dementia care/dementia awareness. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 7 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. Northfield DS0000012517.V341332.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 Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 - Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Some residents are being admitted to the home without any reference to a needs assessment or consideration of the specialist care the resident requires. This has the potential to put residents’ safety and welfare at risk and may mean that residents receive a very poor quality of care without the specialist facilities to support them. EVIDENCE: Three residents have recently moved into the home but there was no evidence that the manager had carried out an assessment of care needs before they moved in. Where a care home agrees to admit residents on an emergency basis the manager must ensure that the home has obtained a copy of the care needs assessment from the care manager before agreeing to the resident moving in. This is to make sure that the home is able to meet all of the residents’ individual care needs. Without relevant information or consultation about residents’ care needs there is a risk that people moving into the home Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 10 may receive a very poor quality of care, the care team may not understand the particular needs of a resident, and the home may not have access to specialist facilities to support them. The home is also legally required to carry out an assessment of residents’ care needs before they move in under Regulation 14 of the Care Homes Regulations 2001. The manager is aware of this and had also received a letter of concern from the Commission in September 2006 following poor practice in the home’s procedures for admission. Failure to obtain relevant information about prospective residents’ care needs means that the home has also not carried out an assessment of any risks to a new resident from the home environment or how those risks will be minimised. There was an incident in the home that indicated that the safety and welfare of new residents had not been given proper consideration. The registered owner of the home was immediately required to make sure that unnecessary risks to the health and safety of the residents are assessed, identified and as far as possible eliminated. The registered owner was given a timescale of 6th August 2007 to comply with this regulatory requirement. Northfield DS0000012517.V341332.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. There is evidence that residents have access to health care services, however, the ongoing monitoring of health care is variable. There are some gaps in information and improvement is needed to the way that health care is recorded and health care needs monitored in the care plans. Improvement must be made to the home’s procedures for the safe administration of medication. There is a lack of awareness that poor practice could potentially be neglectful or abusive to the residents. EVIDENCE: There is a lack of consistent procedures in the home to promote good health care for residents and ongoing monitoring of health is variable. This means that some residents are not receiving regular dental, optician or other service appointments, for example, one resident who wears glasses all of the time has not seen an optician for three years and this had been overlooked in the care plan. Also changes in the care needs of some of the residents are not being reviewed and the care plan updated, for example, the care plan of one resident had not changed following a psychiatric review and change in medication with Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 12 regard to the mental health of one resident. This is partly due to health and psychological care needs within individual care plans not being properly recorded and partly a lack of monitoring of staff practice in the home by the manager. Risks to residents are not consistently identified or recorded including any risks if residents leave the home, risk of falling and the risk of developing pressure sores. There were some gaps in the care plans and decisions on how personal care is delivered are not consistently recorded. Residents may be at risk of their care needs being overlooked or missed and be at risk because of the lack of a recorded risk assessment in the care plan. Some residents living in the home have particularly complex needs related to their physical and mental health and the care assessments, care plans and risk assessments should reflect that all of these care needs are being considered and consistently met. Lack of awareness of good practice is also evident in the way that residents receive their medicines. Some medicines were not being given in the way that had been prescribed, for example, half an hour before food, or at least two hours apart. One resident had been waiting for four days for a medicine that was out of stock. Staff dispensing medicines had not checked the instructions for giving the medicines on the medication recording sheets. This means that residents may be at risk of harm if they do not receive the medicines they have been prescribed, or receive them at the proper time. The manager must take action to make sure care staff that dispense medicines are aware of how to do this safely and correctly. Northfield DS0000012517.V341332.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 adequate. This judgement has been made using available evidence including a visit to this service. Generally staff are aware of the need to support residents to engage in social and leisure activities. Some residents are consulted or listened to regarding the choice of social activity but this process could be improved to include all of the residents, some of whom are frail and unable to verbally express their choice or preference for daily life in the home. EVIDENCE: The home tries to be flexible and attempts to provide residents with a choice of social and leisure activities that meet individual preferences and abilities. The manager states in the Annual Quality Assurance Assessment that “we need to broaden our variety of activities to include exercise and individual activities for those who do not wish to socialise”. However, the manager does not say how the home plans to do this. There is a designated member of staff who has responsibility for the four week programme of activities. This is a positive step but the manager needs to ensure that there is enough staff on duty that are able and willing to take part in activities with the residents. At the moment there are two staff on duty from 2pm to 9pm with an additional member of staff on duty from 3pm to 7pm but staff say they do not have time to spend social time with the residents. It was also noted that afternoon activities take Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 14 part in the conservatory and this is now the designated smoking room. The home needs to consider whether this would exclude those residents who do not smoke and who are not able to walk to the conservatory without assistance. The home tries to make sure that residents are offered a nutritious diet with freshly cooked meals and regular use of fresh fruit and vegetables. The home does not offer a choice of main meal but one of the residents said that they are usually offered an alternative if there is something on the menu they don’t like. However, because of the lack of personal detail in some of the residents’ care plans, the home need to be pro-active in demonstrating that residents’ have choices, particularly where residents’ communication skills are limited due to cognitive impairment. Northfield DS0000012517.V341332.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, 17 and 18 - Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The practice in the home with regard to protecting residents from harm or abuse is variable; poor practice has the potential to place residents are risk of harm. EVIDENCE: The Commission has received one complaint about the home since the last inspection and 7 other complaints have been received by the home with 6 complaints upheld. Records show that complaints were dealt with according to the home’s complaints procedure. Evidence in this report has identified poor practice in assessing residents’ care needs and assessing any areas of risk and making plans to minimise these. This has the potential to put residents at risk of harm or abuse. For example, if residents’ wish to go out on their own, the home must ensure that they are safe to do so and record how the risks will be managed. The home has not responded to a previous requirement about ensuring that residents’ legal and financial interests are safeguarded. The manager recognises the need to ensure that residents who lack capacity to manage their own financial affairs be provided with independent support or advocacy but this has not been arranged. The last inspection identified that one resident was not being appropriately supported to manage their legal and financial interests and was severely disadvantaged as a result. This issue was not addressed Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 16 promptly and within the agreed timescale. The manager was also asked to liaise with the residents’ care manager with regard to getting agreement on expensive purchases made by the manager on the residents’ behalf; this has not been addressed. The home does not operate a thorough staff recruitment process; this has the potential to place residents at risk of harm or abuse. Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26 - Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Some areas of the home are clean and tidy and comfortable for the residents but some areas are in need of decoration, cleaning and removal of unpleasant odours. The physical layout of the home presents some problems to some of the residents who cannot be fully independent and mobile without assistance. EVIDENCE: Generally, the communal areas of the home were clean and tidy, however, in one residents’ bedroom it was noted and pointed out to the manager that surfaces had not been cleaned for a long time and there was a build up of dust and cobwebs on all surfaces, picture rails and on the windows. Some areas of the home had an unpleasant odour of urine and although this improved during the day when hallways were cleaned, some of the residents’ bedrooms retained an unpleasant odour even after cleaning. This was discussed with the manger who said that they were waiting to appoint another cleaner. However, Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 18 the home does not regularly clean and shampoo carpets and flooring and this needs to be done daily to ensure that the home is pleasant for the residents and staff. Some areas of the home have been decorated since the last inspection. Other areas such as the conservatory and ground floor extension are in need of decoration as they look very worn and shabby. The owners of the home confirmed that these areas are due to be decorated and there is a programme of redecorating five rooms each year, they also confirmed that the extension wing is due to be decorated in the next twelve months. Since the last inspection the windows in the first floor sitting room have been replaced but these were found to open excessively wide, this may put frail and confused residents at risk. The home has since confirmed that window restrictors have been fitted. In one bedroom, there were no curtains or blinds at the windows to give residents privacy. The manager explained that the curtains had been taken down for cleaning but had not been put back, and confirmed that this would be addressed immediately. The layout of the home does present some difficulties for residents who are not independently mobile because there are steps between the ground floor and the passenger lift that it is in the main building. Residents who cannot use stairs have to go outside of the building to the front door to use the outside stair lift that brings them to the right level to use the passenger lift or access the dining room. Residents and staff reported that the passenger lift breaks down “regularly” and some residents and staff said that they did not like to use it because of the fear of it breaking down. There was an incident in the home recently when some residents were stuck in the lift and had to be rescued. This does not encourage residents to feel safe and protected and the home must address this issue promptly. Northfield DS0000012517.V341332.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. There are opportunities for staff development and training. Generally, residents in the home were satisfied with the care they receive. However, at certain times in the day, there needs to be more staff on duty and the home must make sure that there are sufficient numbers of staff available to meet residents’ social, leisure and spiritual needs. The systems for recruiting new staff are not thorough and could place residents at risk of harm or abuse. EVIDENCE: Staff recruitment records showed that two new staff started work in the home on the same day that confirmation was received that their criminal record checks were satisfactory. However, in one case, a member of staff had started before the home had received satisfactory written references. The manager explained that verbal references had been checked but she had not received anything in writing. Failure to carry out thorough recruitment checks on new staff has the potential to place residents at risk of harm or abuse. Since the last inspection the manager has improved the process of making sure that new staff follow a comprehensive induction that meets national training standards and the systems for formal staff supervision have improved. Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 20 During the previous inspection concern was raised by health and social care professionals that there were not enough staff on duty, particularly in the evening and the manager was recommended to keep staffing levels under review. The manager confirmed that an extra member of staff is now employed over the teatime period to help with meal preparation and serving. However, during the inspection visit staff said that the afternoons are very busy and they don’t always have time to meet residents’ needs for a chat, do activities or take residents out. Some of the residents need two members of staff to help them with personal care needs and this indicates that staffing levels are not sufficient at all times to meet residents’ needs, especially those times when there is only two members of staff on duty. Discussion with care staff indicated that there is an ongoing programme of training including the National Vocational Qualification in Care (NVQ) and all aspects of safe working practice such as infection control, health and safety, safe lifting, food hygiene and safeguarding adults training. Some of the staff have had some training in dementia awareness and said this had been very informative and helpful. Comments received from residents and visitors indicated that the levels of good care provided are variable, “some of the staff are very good at communicating well with residents”. This comment was confirmed by observation of practice in the home and some staff demonstrated a good awareness of good practice in meeting the needs of residents who have varying levels of cognitive impairment. The manager must ensure that all staff are supported and supervised to develop good practice and develop good communication skills. Northfield DS0000012517.V341332.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. Residents in the home are not adequately protected or kept safe at all times. The practice in the home is inconsistent and this puts residents at risk of receiving poor quality care and of not having all of their care needs met. EVIDENCE: The manager of the home is qualified and experienced and demonstrates that she is committed to updating her professional practice and qualifications. However, the home needs to develop systems of organisation and management to ensure that the service provides a consistent quality of care that meets the needs of all of the residents. The manager must ensure that residents are only admitted to the home following an assessment of their care needs and undertake risk assessments that identify how residents will be Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 22 protected. This will ensure that the home can meet residents’ care needs and staff can be confident that care needs will be met. Care practice is not regularly monitored. This means that some residents may be at risk of care needs being overlooked or care needs not being met because of lack of knowledge, experience, or the specialist equipment to meet their care needs. The manager must ensure that there are sufficient numbers of care staff on duty at all times to meet all of the residents’ physical, emotional and social care needs. The home does not have a system in place that regularly monitors how well the service is meeting residents’ care needs. A quality assurance system should provide evidence of this. An effective quality assurance system would also monitor and review how well the home is meeting the National Minimum Care Standards. Although the owners of the home carry out regular inspection visits, these inspection reports have not monitored the home’s compliance with the Care Homes Regulations 2001. Attention is given to meeting health and safety requirements and the home has recently been inspected for fire safety and food safety. The manager confirmed that requirements from these inspections have now been met. The home has been given a 4 star rating for food hygiene. Following the inspection visit, immediate action was taken to protect residents from the risk of falling and restrictors have been fitted to upper floor windows and a risk assessment undertaken. The legal and financial rights of those residents who lack the capacity to manage their own affairs are not sufficiently protected. This was identified as a concern at the previous inspection but no action has been taken to protect the resident concerned. Northfield DS0000012517.V341332.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 X X 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 1 18 2 1 X X 2 X X X 1 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 2 1 X X 1 X X 2 Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 (1) Requirement Residents must only move into the home following a full assessment of their care needs, or where the home has obtained a summary of care needs from a care manager or other suitably qualified person. Timescale for action 30/08/07 2. OP8 13 (1) 3. OP7 13 (4) (c) (The registered provider has confirmed that there is now a procedure in place for assessing residents, including assessing any risks, prior to moving in) The plan of care for each 30/08/07 resident must make sure that residents receive access to services from other health care professionals such as opticians, dentists, or as identified in their assessment of care need. 06/08/07 The home must make sure that unnecessary risks to the residents are identified and as far as possible eliminated. A risk assessment must be recorded for every resident that details action being taken to keep residents safe. (This was an immediate Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 25 requirement and the registered providers have confirmed that this requirement has been met by 6th August 2007 and risk assessments have been undertaken) 4. OP9 13 (2) Medicines for residents must be dispensed according to the instructions of the person prescribing them. Arrangements must be made to protect residents’ financial and legal interests. (This is a repeat requirement and the previous timescale of 03/07/06 has not been met) The home must make sure that the passenger lift is safe and suitable to be used by the residents. Residents must be protected by thorough staff recruitment systems. This must include obtaining two satisfactory written references before new staff start working in the home. The home must have an effective system of quality assurance that measures how well the service is meeting the needs of the residents. All parts of the home that residents have access to must be free from hazards to their safety, such as upper floor windows. (This was an immediate requirement and the registered owners have confirmed that window restrictors have been fitted to the first floor sitting room windows by 13th August 2007) 30/08/07 5. OP18 13 (6) 30/08/07 6. OP19 23 (n) 30/08/07 7. OP29 19 and Schedule 2 30/08/07 8. OP33 24 30/09/07 9. OP19 13 (4) (a) 13/08/07 Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Northfield DS0000012517.V341332.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!