Inspection on 05/11/08 for Oliver House

This inspection was carried out on 5th November 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oliver House 12/05/08

Oliver House 21/05/07

Oliver House 14/06/06

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oliver House Oliver Road Ilkeston Derby DE7 4JY     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Janet Morrow     Date: 0 5 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Oliver House Oliver Road Ilkeston Derby DE7 4JY 01159440484 01159440417 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sajid Mahmood Type of registration: Number of places registered: care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Oliver House is registered to provide personal and nursing care for service users of both sexes whose primary needs fall within the following categories: Old age not falling within any other category: OP up to 26 service users PD up to two, both on a named basis To admit a named service user to Oliver House in the category learning disability (PD) under variation V35355. Date of last inspection Brief description of the care home Oliver House is situated in a quiet, accessible area within the village of Kirk Hallam, close to the town of Ilkeston. The home is registered for the care of 26 elderly residents and admits residents with nursing needs. There are separate sitting and dining areas within the home. There is a garden to the rear of the building, which has been designed to be easily accessible to residents. There is passenger lift and staircase access to the first floor facilities. The home provides 24 single bedrooms (8 with enCare Homes for Older People Page 4 of 30 Over 65 26 0 Brief description of the care home suite facilities) and 1 double bedroom (without en-suite facility). There are sufficient additional toilet and hygiene facilities provided throughout the home. Residents are encouraged to personalise their rooms if they wish. All rooms are equipped with a link to the call system. Support services are in place with a choice of General Practitioners, and chiropody, dental, optician and other services arranged as appropriate. A visiting hairdressing service is provided. The home has open visiting arrangements. Inspection reports are on display in the homes entrance and details of previous inspection reports can also be found on the Commission for Social Care Inspections website: www.csci.org.uk Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection visit was unannounced and took place over one day for a total of 6 hours. An expert by experience assisted with the inspection process. An expert by experience is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The expert by experience was present for three hours and spoke with eight service users and several members of staff. Her findings are incorporated into the report. Care records and staff records were examined. A partial tour of the building was Care Homes for Older People Page 6 of 30 undertaken. Five of fifteen people currently accommodated were spoken with. Four members of staff and the acting manager were spoken with. One relative and one visiting professional were spoken with by telephone following the inspection visit. The Commission for Social Care Inspection received five surveys from people living in the home. Information received in June 2008 from the home stated that the weekly fees ranged from 472 pounds - 520 pounds. What the care home does well: What has improved since the last inspection? What they could do better: More effort is needed to ensure that there are a sufficient variety of activities available that take into account peoples individual interests and their spiritual needs must also be addressed. More effort on quality assurance needs to be made that must include a written plan to show what the owner will do to assure the quality of the service and that any feedback received is acted on. The paving remained uneven in places on the patio that could pose a trip hazard for people with mobility problems. This has been an outstanding issue since the patio was Care Homes for Older People Page 8 of 30 installed and has yet to be made safe. Handrails were also needed on the ramps leading to the outside of the building. All staff must undertake infection control training and training courses on issues related to care need to be arranged. Care plans must contain enough detail to ensure staff know what to do and there must be sufficient information on peoples social needs to ensure they are treated as individuals. There must also be more detailed information about peoples needs obtained prior to admission. The acting manager must make an application to be registered with the Commission for Social Care Inspection. Staffing hours must be reviewed to ensure there are sufficient staff available to meet peoples needs in a timely manner. The general decor is dull and tatty and is in need of improvement to introduce fresher and warmer colour schemes. People living in the home should be consulted about the decor of the communal areas and corridors. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was sufficient admission information available to establish that the home was able to meet peoples needs. Evidence: Two peoples care records were examined and showed that assessment information was received from external professionals and the home also conducted their own assessment and background information prior to admission. This established that the home was able to meet individual needs. However, the information completed by the home was minimal and lacked detail. Those people living at the home spoken with confirmed that their care needs were met. Three of the five surveys received from people living in the home responded that they usually received the care and support they needed, one responded that they always did and one responded that they sometimes did. Care Homes for Older People Page 11 of 30 Evidence: There were risk assessments in place that covered nutrition, falls, pressure sores and a general assessment of potential hazards in bedrooms. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements had been maintained in care and medication records and this helped to ensure health and personal care needs were identified and met. Evidence: Two peoples care files were examined and both had a care plan in place that contained information on how to address needs. Some of the information was minimal and the acting manager stated that she intended to alter the care plan format to allow more individual detail to be added to the care plans. Some of the information was difficult to locate; for example, a care plan for pressure sore prevention and treatment on one file was detailed under a section headed mobility. There was also limited information on how to address peoples social, religious and cultural needs and neither file examined had any information about how to address these needs. The acting manager stated that she intended to start using a getting to know you document that would gather this information. Care Homes for Older People Page 13 of 30 Evidence: Access to health professionals such as opticians and dentists was recorded in the files examined and there was monthly recording of weight and blood pressure on both files. One file showed that a specialist nurse had been consulted for advice on treating a pressure sore. General observation during the inspection showed that staff and people living at the home enjoyed warm relationships and privacy and dignity was upheld. Staff displayed patience and kindness and interacted well with people living in the home. Four of the five surveys received from people living in the home said that staff listened and acted on what they said and one survey said they did not. Four surveys responded that they always received the medical support required and one responded that they sometimes did. A relative spoken with also responded that medical support was always made available and that they were kept informed of any medical issues and one survey commented that they had very little fault to find with the care and attention I receive. A visiting professional spoken with stated that they had no concerns about the care. A general check on six medication administration record (MAR) charts showed that all charts were signed properly. Two people were signing handwritten MAR charts and quantities of medicines received were recorded. Two charts were then examined in more detail and both were completed accurately. Storage of medicines was satisfactory and refrigerator temperatures were within safe limits. Applications with a limited shelf life, such as eye drops, were labeled with the date of opening and were within their use by dates. There were no controlled drugs in use at the time of the inspection visit. The home did not have a copy of the Royal Pharmaceutical Society Guidelines on administering medicines in care settings. Care Homes for Older People Page 14 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A lack of activities and contact with the community does not ensure that people have a good quality of life. Evidence: There had been some improvements to the amount of activities arranged. An internal quality assurance survey undertaken in June 2008 showed that most people rated activities as poor or fair. However, surveys received by the Commission for Social Care Inspection in October 2008 showed an improvement. One survey received from people living in the home stated that there were sometimes activities available, three responded that there always were and one responded that there usually were. One survey commented that staff were very helpful in relation to activities. Two members of staff were now involved in arranging activities for three hours each per week. A record of activities was maintained that stated whether people had joined in a particular activity and what had been on offer. One person was observed to be pursuing their own interests of reading and crosswords. The home had been decorated for Halloween and a bonfire party had been organised Care Homes for Older People Page 15 of 30 Evidence: for the evening of the inspection visit, although only one person spoken with was aware this was happening. Musical entertainment was booked twice per month. However, it was observed that people with particular needs lacked stimulation. For example, there were few things of interest for people with dementia such as reminiscence material. One person spoken said they would love to go out on fine days but outings appeared to be few. It was observed during part of the inspection visit that most people were sitting dozing and that although the television was on, no one was watching it. Later during the visit, staff put music on and one person commented I really love a bit of music. People spoken with confirmed that their relatives were able to call at any time and those relatives spoken with stated that they were always made to feel welcome. There appeared to be little other contact with the local community and peoples spiritual needs seemed overlooked with no visits from local religious ministers. The serving of the lunchtime meal was observed and all people spoken with stated that they enjoyed the food. A variety of options were available and individual preferences were taken account of. For example, some people were having a casserole and others were having sausages. Portion sizes were adequate but with the exception of one table, there was a marked absence of drinks. Two people living at the home stated that the food was good. Two of the five surveys received from people living in the home responded that they usually liked the meals, two responded that they always did and one responded that they sometimes did. One person spoken with commented that they thought there was too much meat and not enough salads and fish. The dining area was utilised more and people were sitting at tables rather than having meals in their armchairs, as had occurred previously. The dining room tables had been improved with decorations and table mats and the acting manager said that people had responded favourably to this. Food stocks were examined and showed that a good range of foods was available, including fresh fruit and vegetables. Menus were examined and showed that a choice was available and that food was nutritious. The kitchen was clean and tidy and the Local Authority Environmental Health Department had rated the food hygiene standards as very good in January 2008. The acting manager stated that no one in the home currently had an advocate but she was aware of who to contact if one was required. The home had information on the Mental Capacity Act 2005. Care Homes for Older People Page 16 of 30 Care Homes for Older People Page 17 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements in complaints procedures and safeguarding procedures ensured that people were safeguarded. Evidence: The home had a clear complaints procedure that stated complaints would be investigated within seven days. The recording of complaints had improved since the last inspection visit in May 2008. A record had been established and complaints were recorded and it was clear what action had been taken to address them and whether or not the complainant was satisfied. All five surveys responded that they knew who to speak to if they were not happy and that they knew how to make a complaint. However, seven people spoken with during the visit said they did not feel confident in lodging a complaint. There had been no further complaints received at the office of the Commission for Social Care Inspection since the last inspection visit in May 2008. The policy on safeguarding adults had been updated and there was information available on how to refer people to the Protection of Vulnerable Adults (POVA) list. The acting manager was familiar with the procedures and staff spoken with confirmed that they were aware of their responsibilities to report any suspicions of abuse. Care Homes for Older People Page 18 of 30 Evidence: The written information provided by the home in May 2008 stated that there had been no allegations of abuse in the previous twelve months. Care Homes for Older People Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A need for updating and refurbishment did not ensure that people always had comfortable accommodation to live in. Evidence: The home was generally clean and tidy and there was no odour but there were areas that continued to need attention. An internal quality assurance survey undertaken in June 2008 showed that most people rated the environment as poor or fair. Several people living in the home expressed dissatisfaction with the colour of the corridors and lounge wall. It was noted that there was scuffed paintwork and an absence of pleasing colour schemes. One survey received from someone living in the home said they wished the colour scheme in the living room could be brighter instead of dark green. All five surveys received responded that the home was always fresh and clean. The flooring in the bathrooms was noted to be dull and worn and had dirty looking scratches and rust marks. Those bedrooms seen were tidy, clean and uncluttered but were very dull and badly in need of fresh, warm colour schemes. The visits in December 2007 and May 2008 identified a trip hazard in the patio area. Care Homes for Older People Page 20 of 30 Evidence: Although the owner stated in his improvement plan supplied in June 2008 that this had been addressed, the work undertaken was still not satisfactory. The acting manager stated that she was looking into the problem. There were no handrails on the ramps leading to the exterior of the building and the surface appeared uneven. A large artificial plant was partially blocking the fire exit door. The laundry was neat and tidy. There were two washing machines, both with a sluice wash facility. Records confirmed that training on infection control had taken place in June 2008 but not all staff spoken with had undertaken this training. Staff spoken with reported that there was adequate protective equipment such as gloves and aprons and they were aware of how to prevent the spread of infection. However, they also expressed concerns that information about infectious conditions, such as MRSA (methicillin resistant staphylococcus aureus), was not always routinely passed on to all staff. This was also highlighted at the previous inspection visit in May 2008. Red bags were available for soiled items. Care Homes for Older People Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Lack of care related training and reduced numbers of staff had the potential to compromise the quality of care provided. Evidence: The staff rota for 13th October 2008 - 9th November 2008 was examined. This showed that the numbers of staff had been reduced from three care staff to two on the morning shift and from two carers to one on the night shift from the 28th October 2008. This was due to a reduction in the numbers of people living at the home. There were two care staff available in the afternoons and there was a qualified nurse on each shift for the fifteen people currently accommodated. The acting manager was supernumerary. There were kitchen, laundry and cleaning staff on duty each day. The number of consecutive shifts being worked by some staff had reduced since the previous inspection visit in May 2008 and staff spoken with confirmed this. However, the staff wishing to work additional hours had not signed any agreement to opt out of the European Working Time Directive. The acting manager stated that she intended to address this. Staff spoken with also stated that it was difficult to provide the care required since the reduction of staff in the morning shift and that they were always busy and did not Care Homes for Older People Page 22 of 30 Evidence: have enough time to do anything additional to providing the care required. One person living in the home stated that they had to wait to be taken to the toilet. Three of the five surveys received from people living in the home responded that there were always staff available when needed, one responded that there usually was and one responded that there sometimes were. One survey commented that they are just so busy that I have to wait a little while for the bathroom. A relative spoken with commented on a lack of staff and said the home was short staffed. The acting manager stated that eight of thirteen care staff had undertaken National Vocational Qualification at level 2 or above and a further two were about to complete the training. This meant that the home had met the target of having a minimum of 50 of care staff with an NVQ2 qualification. However, although training in mandatory health and safety areas was undertaken, there was little other training in relation to care (apart from NVQs) occurring. This was raised as an issue at the previous inspection visit in May 2008. The acting manager was aware of the need for additional training and stated that she had organised a meeting with the local college to discuss courses available and then wanted to prioritise training on tissue viability, the Mental Capacity Act 2005 and dementia. Three staff files were examined for recruitment information and all had the relevant checks in place including Criminal Record Bureau (CRB) checks, Protection of Vulnerable Adults (POVA) checks, identity information and two written references. A qualified member of staff also had confirmation of license to practise from their governing body. Care Homes for Older People Page 23 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Inadequate quality assurance processes had the potential to adversely affect the running of the home. Evidence: The home was in a period of transition regarding managerial arrangements. A new acting manager had been appointed and had commenced work at the home ten days prior to the inspection visit. She was experienced and knowledgeable and was able to demonstrate in discussion how she intended to improve the service. She stated that she wanted to build a good team of staff. Quality assurance processes were an ongoing issue. Although some improvements had been made to the general running of the home and the environment since the last inspection visit in May 2008, there appeared to be a lack of understanding about quality assurance. For example, people living in the home had completed a survey in June 2008 and the majority of responses had rated activities and the environment as Care Homes for Older People Page 24 of 30 Evidence: either poor or fair but the owner had written none required about any action needed. The acting manager had plans to address these issues by having meetings for people living in the home and their relatives, staff appraisals and had spoken to the owner about monitoring techniques such as monthly audits in response to Regulation 26 of the Care Homes Regulations 2001. The home administered the personal finances for the one person living in the home. Although no documentary evidence could be found on the day of the inspection visit regarding how these monies were administered, the acting manager stated that it had been brought to her attention that this money was now being paid into a separate bank account and not the business account. The improvement plan supplied by the owner following the last inspection visit also stated that this was occurring. A random sample of maintenance records showed that water safety had been checked in August 2008, the lift in June 2008, emergency lighting in August 2008, fire detection and fire fighting equipment in August 2008 and gas safety in August 2008. Mandatory health and safety training was undertaken and training records showed that food hygiene training had been completed in February and June 2008, moving and handling in August 2008, infection control in January 2008 and fire safety training in July 2008. Night staff had been included in the fire safety training. However, not all staff had completed infection control training. As noted earlier in the report, there was a plant partially obstructing an emergency fire exit. Care Homes for Older People Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 19 23 (2) (b) The trip hazards in the patio area must be rectified to ensure the outside area is safe to use. This is a previous requirement. The timescale for completion has been extended by two months from the date of the inspection visit. This is to ensure that the external area is safe to use. 01/01/2009 2 27 18 (1) (a) & (b) A review of staffing hours must be undertaken to ensure there are sufficient staff on duty at key times to ensure peoples needs are met and that employment legislation is complied with. This is a previous requirement. The timescale for completion has been extended by two months from the inspection visit. This is to ensure there are sufficient staff on duty at all times to meet peoples needs. 01/01/2009 Care Homes for Older People Page 26 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans must contain 01/01/2009 information on how to meet peoples social, religious and cultural needs. This is to ensure that all peoples needs are met and that they are treated as individuals. 2 7 15 Care plans must contain 01/01/2009 sufficient information for staff to know how to provide the necessary care. This is to ensure that peoples needs are fully met and staff know what they need to do. 3 12 16 A greater variety of activities 01/02/2009 and outings to suit individual interests must be arranged. This is to improve peoples quality of life. 4 19 23 The decor and general appearance of the building must be addressed. 01/02/2009 Care Homes for Older People Page 27 of 30 This is to ensure that people have comfortable and pleasant surroundings in which to live. 5 26 13 There must be a clear system in place to inform all staff when there is an infectious condition present in the home. This is to ensure that proper infection control procedures are followed and everyone in the home is safe. 6 27 18 The home must ensure that 01/01/2009 there always enough staff on duty to meet peoples needs. This is to ensure that peoples needs are met in a timely manner and that waiting time for essential care is reduced. 7 31 9 The manager must become registered with the Commission for Social Care Inspection. This is to ensure that a suitable person is running the home. 8 33 24 There must be a clear 01/02/2009 system in place including an annual development plan that sets out how the home intends to improve and to show that feedback received has been addressed. This is to ensure that the home continues to improve 01/02/2009 01/01/2009 Care Homes for Older People Page 28 of 30 and takes account of peoples views and comments. 9 38 13 All staff must receive updated infection conrol training. This is to ensure that staff are clear about what to do if there is an infection in the home and to ensure people are safe. 01/02/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 3 Assessment documentation should contain more detail to give a better background of peoples needs prior to admission. The system of recording on care plans should be reviewed to ensure that the plans are easy to follow and information is easy to locate. The home should obtain a copy of the Royal Pharmaceutical Society Guidelines on administering medication in care settings. Greater contact with the community, particularly visits from religious ministers, should be arranged. There should always be plenty of drinks available at mealtimes. The home should take peoples views into account and consider re-decoration of the corridors and dining area. There should be additional training in care related issues to ensure staff keep up to date with their knowledge and skills. There should always be records available in the home to show how peoples finances are administered. Obstructions should be removed from emergency fire exits. 2 7 3 9 4 5 6 7 12 15 19 30 8 9 35 38 Care Homes for Older People Page 29 of 30 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 30 of 30 - 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!