Inspection on 01/12/06 for Orrell Grange

This inspection was carried out on 1st December 2006.

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

Orrell Grange 15/07/08

Orrell Grange 05/09/07

Orrell Grange 23/02/06

Orrell Grange 18/11/05

Orrell Grange 18/03/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Orrell Grange 43 Cinder Lane Bootle Liverpool Merseyside L20 6DP Lead Inspector Ms Lorraine Farrar Unannounced Inspection 1st December 2006 12:15 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 Orrell Grange DS0000061714.V296438.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. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orrell Grange Address 43 Cinder Lane Bootle Liverpool Merseyside L20 6DP 0151 922 0391 0870 7059966 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) 1st Care Ltd Mrs Shiela Victoria Harrison Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 36 (OP). One named female out of category service user under pensionable age. The variation applies to the named service user only, should she leave the Home, then the variation will cease to apply. 3. The service should, at all times, employ a suitably qualified and experienced Manager who is registered with the CSCI. 23rd February 2006 Date of last inspection Brief Description of the Service: Orrell Grange is a purpose built care home designed to provide accommodation and nursing care for thirty-six older people, six of whom may have dementia. Twenty-six of the bedrooms are single and there are also five double bedrooms. Four of the single rooms have en-suite facilities and all other bedrooms have washbasins. Accommodation is on two floors with a lift available to access the top floor. Shared space consists of one large lounge and a dining room. The lounge provides a TV area and quieter area with a smoking area designated next to the patio doors. The dining room is not large enough to accommodate everyone, therefore meals are served in two sittings. Outside there are pleasant gardens, which Residents, can make use of during warmer months. The home is situated in a residential area of Bootle, nearby facilities include shops, pubs and public transport. Twenty-four hour nursing and personal care is provided by the home, in addition to which a member of Staff is employed on a part time basis to coordinate leisure activities for Residents. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on 1st December, an arranged visit also took place on the 3rd December to examine records that had not been available. Information for this inspection was gathered in a number of different ways. This included an unannounced site visit where time was spent reading records and looking at the building. ‘Case tracking’ was used as part of the visit. This involves looking at the support a person gets from the home including their care plans, medication, money and bedroom. Case tracking was used to look at life in the home for three of the people living there. Discussion also took place with some of the people living in the home, their visitors and Staff and a sample of records were examined. Comment cards were sent out before the inspection to Residents, their Relatives and Health and Social Care Professionals. Of these nine were returned by Health and Social Care professionals and their comments have been taken into account within this report. The Manager has the opportunity to contribute information by completing a pre inspection questionnaire, information from which has also been taken into account within this inspection report. Current fees for living in the home range from £355.50 to £458.50 What the service does well: Information about the home, including how to make a complaint and the services provided is readily available to Residents and their representatives along with information about local services that can provide them with support. Visitors are welcomed to the home and kept informed about their relatives care. Residents are offered a choice of meals and given time to eat them in an unrushed manner. With comments about the meals including, “we are spoilt” and “the food is lovely” Staff work well with other health care professional to obtain treatment and advice for Residents, and ensure that their health needs are identified and met. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 6 Residents or their representatives are encouraged to manage their own money with advice provided by the Administrator of needed. Clear systems are in place for reporting and dealing with a complaint or allegation of abuse and Residents or their representatives are confident to talk with Staff if they are unhappy. Orrell Grange provides a warm, safe and clean environment for people to live in and Residents are able to personalise their bedrooms with their belongings. There are sufficient Staff working in the home to provide support to Residents when needed or requested. A quality audit is carried out each year which helps the home to identify the areas they are providing a good service in and areas that need developing. What has improved since the last inspection? What they could do better: Staff need to further develop their understanding of how to treat Residents with dignity and respect at all times. This includes spending time talking with Residents when providing support to them and ensuring visitors to the home do not invade Residents privacy. The recruitment process for new Staff needs to be improved including obtaining safety checks on the person. This will help the Registered Person ensure that no one works in the home who is unsuitable to work with people who are often vulnerable. Training for Staff should be better planned for, including making sure that all Staff undertake basic training courses in care related subjects and have an understanding of what to do in the event of a fire breaking out. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 7 Up to date information about fees and terms and conditions for living in the home and how fees are paid should be made available to Residents and their representatives so that they are aware of any financial obligations. Day to day activities for Residents in the home should be further developed. Although there was some good practise in meeting individuals’ choices, there is no planned programme of activities based on a survey of what Residents enjoy doing. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Orrell Grange DS0000061714.V296438.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 Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Sufficient information about a person is obtained before they move in to ensure that the home can meet the person’s needs. Residents are not always provided with up to date information about their fees and contract with the home. EVIDENCE: The home has a Service User Guide and Statement of Purpose, which are on display in their hallway along with a copy of the last inspection report. Both documents can be made available in larger print if requested. Amongst other things they provided information about fees, services provided by the home and how to make a complaint and can help people looking for a care home to decide if the home would be suitable for them. The Administrator explained that a copy of the Service User Guide is given to anyone who is thinking about moving into the home and that she verbally discusses arrangements for paying fees with the person or their representative. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 10 The Administrator explained that once a person has been in the home for a trial period they are given a contract with the home. None of the people whose files were looked at had copies of signed contracts on file. Without these contracts in place the Resident or their representative may not have up to date information about the terms and conditions of their stay in the home and the fees that are payable including their contribution. None of the Residents spoken with could recall whether they had received this information, however two explained that their family had visited the home and dealt with the arrangements for them. A copy of an assessment carried out before the person moved into the home was on file for people admitted in the past year. These assessments had been completed by one of the Nurses in the home and contained enough information so that they could make sure they can meet the person’s needs and choices. Orrell Grange does not provide an intermediate care service. Orrell Grange DS0000061714.V296438.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Residents’ health and personal care needs are identified and met by Staff. However Residents right to be treated with respect and dignity is sometimes but not always upheld. EVIDENCE: Three care plans were looked at during this inspection. They contained assessments of the persons health needs, such as their nutrition and pressure area care. Where a need for support was identified the plans contained clear guidelines for Staff to follow. The plans had all been reviewed regularly and updated if the persons needs changed. Staff spoken with were able to explain the care they provide for each person and this was in line with the information in that persons care plan. Comment cards from GP’s and Health and Social Care Professionals all said that they were satisfied with the overall care provided by the home, with one commenting, “Care is very good. Service Users always seem satisfied with overall care provided”. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 12 One Resident spoken with was anxious about their health, however their Relative explained that Staff are aware of this and spend time providing reassurance. This was further evidenced in discussion with Staff, who were able to explain the persons anxieties and how they provide information and reassurance. Plans contained clear information that Staff work with other health professionals to obtain advice and support for the person and that any advice given or needed is followed up and provided. Medication in the home is stored in a downstairs treatment room and upstairs un-used bathroom. Records for the receipt and giving of medication were all completed. No record of medication that is waiting to go back to the Chemist is kept. There is therefore no system for checking that some of this medication does not go missing. Although medication was stored safely no check is made of the temperature of the rooms in which medication is kept, this could lead to medication being stored incorrectly and not working as well as it should. The use of an un-used bathroom to store medication in may not be hygienic and should be reviewed by the Manager. Residents spoken with all appeared to have had their personal care needs met and support to use the bathroom was observed to be provided discreetly. On several occasions Staff were seen to sit and chat with Residents in a friendly and unrushed manner. On one occasion a Carer was seen taking a comb out of her pocket and use it to comb someone’s hair as they walked past, there was no evidence that this comb belonged to the person having their hair combed. During the evening meal the visitor of a member of Staff was standing in the dining room doorway observing but not interacting with Residents. As they were eating and receiving support with their evening meal at the time, this may have made people feel uncomfortable. Orrell Grange DS0000061714.V296438.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Visitors to the home are welcomed however a lack of day-to-day activities may lead to some Residents becoming isolated. EVIDENCE: Several activities had been arranged and were advertised for over the Christmas period, these included, a party in the home to which Relatives and friends were invited and a trip to see a Pantomime in Southport. During the Inspection Residents were spending their time, chatting, watching TV, with visitors or in their rooms. Some evidence that individuals choices are catered for was available in that, one lady’s care plan noted that she liked a weekly magazine, she explained that the home have arranged for this to be delivered for her and that they support her to pay the bill. No formal activities programme, is in use in the home, although one of the Carer’s is identified to provided activities on a part time basis, this is not structured. She explained that in house activities include bingo and videos and that if possible she will arrange outings. It has been recommended at previous inspections that the home should consult with Residents about their preferences regarding leisure activities and maintain an activity diary. Although some information was recorded in care plans about the person’s Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 14 preferences, not all of this information had been completed. Once obtained this information would help Staff to provide more effective support to Residents on an individual or group basis. During the site visit several people had visitors and a Relative explained that she visits regularly, is always made welcome and kept informed regarding her relatives care. Records confirmed that Residents or their representatives are encouraged to handle their own financial affairs and the Administrator was able to explain the support she offers with this. Information about how to contact local advocacy groups who can offer support and advice is clearly displayed in the hallway. Residents were positive about the meals served in the home, with comments including, “we get plenty” and “we get a choice”. The kitchen area was clean with food stored appropriately and menus showed that a choice of meals is offered daily. The dining room is pleasantly decorated and tables are nicely prepared for meals. Several people explained that they prefer to eat their meal in the living room, this was served to them on a tray and contained their meal, drink and cold dessert so that they did not have to wait for an unacceptable time. One lady explained, “The food is very good, we get a choice”. During the visit Staff were observed serving drinks to people and those in their bedrooms had jugs of cold drinks as well as a hot drink brought to them throughout the day. The mealtime was observed to be unrushed however a Carer was observed helping a gentleman to eat his evening meal in the lounge. Whilst doing this she did not interact with him at all, spending the time, offering him the spoon of food whilst looking over her shoulder and talking to other people. Orrell Grange DS0000061714.V296438.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Systems are in place to deal with any complaints or protection issues and safeguard Residents. EVIDENCE: The home has a policy in place, which informs people how to make a complaint and how this will be dealt with. Copies of this are made available to Residents and their representatives via their Service User Guide and a copy is on display in the hallway. A system is in place for recording complaints made about the home. However neither the home nor the CSCI have received a complaint about the service since the last key inspection took place. Residents and their representatives spoken with said that if they were unhappy they would talk with the Manager or a member of Staff and are confident they would del with this. Some Staff have received training in adult protection and the Manager has an understanding of these issues. A copy of the local authority adult protection procedure is available along with information from the organisation. This helps to ensure that Staff take the appropriate action in the event that an allegation of abuse is made. The home have worked hard on the support they offer to Residents in managing their monies. They no longer act as appointee for new Residents and where possible have ceased to act as appointee for existing Residents. Records of monies kept were in order and amounts held were correct. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Orrell Grange provides a warm, comfortable and safe environment for people to live in. EVIDENCE: A Relative spoken with said that, “the home is always warm and comfortable.” This was observed during the site visit with all areas visited looking clean, comfortable and warm. Resident’s bedrooms are personalised with their own possessions and equipment is provided to meet their needs. This includes adapted baths and toilets, bed rails, cushions and call bells. In one bedroom the knob had fallen off the radiator leaving a metal spike pointing upwards. This would be dangerous if anyone fell and must be mended. There is only one large lounge, this is separated with chairs and a half wall and provides areas for watching TV and meeting with visitors. A designated smoking areas in available in this room near to patio doors. The dining room within the home is too small for everyone to use, however this is catered for by Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 17 providing meals in two sittings. Outside there is an enclosed garden with seating and parking is available in a small car park at the front of the home. The home has a separate laundry room equipped with, 2 industrial washers, an industrial dryer and sluice. A member of Staff is employed to work in there 4 days a week and it was noted that Residents clothing looked well cared for and bedding was ironed and in good condition. A system is in place to prevent cross infection and equipment to help with this including disposable gloves, aprons, clinical waste and water-soluble bags is provided. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 & 30 The quality in this outcome area is poor. This judgement has been made using available evidence, including a visit to this service. There are sufficient Staff working in the home to meet Residents needs. However recruitment and training practices do not always ensure that Residents are safe. EVIDENCE: The home provides 2 qualified Nurses during the day and 1 at night with a minimum of 6 Carers in the morning, 4 in the evening and 3 at night. Residents spoken with said that there are enough Staff to meet their needs and that if they ask for help they do not have to wait long before receiving this. This was observed during the inspection when Staff offered support quickly and discreetly. In their comment cards Health & Social Care professionals said that there is always a senior member of Staff to speak with and that they have a clear understanding of Residents needs. Four Staff files were looked at. These did not contain evidence that the home had carried out checks before employing the person, to make sure that they are suitable to work as Carers. One file contained a Criminal Records Bureau check (CRB) from the person’s last employer but no evidence that this check had been undertaken when they commenced work at Orrell Grange. Another contained a copy of an overseas police check but no evidence that a CRB check had been carried out in Britain. A third file contained no evidence that a CRB had been obtained or applied for. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 19 Prior to anyone starting work in a care home a check must be made to ensure the person has not been placed on the Protection Of Vulnerable Adults register, as being unsuitable to work with vulnerable adults (POVA). No evidence was available that this check had been carried out for two members of Staff. Written references had been obtained for Staff, however not all application forms or health declarations had been completed. If these checks are not carried out the Manager cannot make sure that it is safe for those Staff to work with the people living in the home. Records and discussion with Staff showed that some but not all of them, have had a variety of training in the past year including, moving and handling, infection control and falls prevention. New Staff have an induction to the home and attend an external ‘introduction to care’ course. This training provides Staff with the information they need to support Residents effectively. Although many of the Carers working in the home are experienced Carers, none hold a care qualification. Two Carers spoken with said that they would like to obtain this but that the organisation “don’t do it”. Nationally it is expected that 50 of Carers working in a care home will hold this qualification, however the home are currently not working towards meeting this national standard. No planned training programme is in place to make sure that all Staff undertake basic training such as moving and handling and the Protection of Vulnerable Adults, and records showed that not all Staff had undertaken this basic training. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35 & 38 The quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Orrell Grange provides a safe environment for people to live in, however a lack of training for Staff could place Residents at risk. EVIDENCE: Mrs Sheila Harrison is the Registered Manager of the home. She is a registered general nurse with many years experience of working with older people and managing a care home. The home arranges for a quality audit to be carried out each year by an external company. This was last carried out in April 06 and the home received a 4 star rating out of a possible 5 stars. This audit involves the Auditor spending time with Residents, Relatives and Staff and sending out questionnaires. In addition the Manager maintains a quality audit file with Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 21 appropriate polices etc and carries out regular checks of the building. These quality audits help the home to identify areas in which they are providing a good service and areas in which they can plan to improve. The home encourages Residents and their representatives to manage their own money and will act as appointee for their benefit money, only when no one else is available. A safe is provided for storing small amounts of Residents money and written records are kept of their income and outgoings. A check on monies held and records for some Residents evidenced that these are safely managed. A sample of records relating to health and safety including the gas and electrical certificates and fire book were checked. These were in date and satisfactory. One member of Staff spoken with was able to explain the action to take in the event of a fire, a second member of Staff was unsure. This uncertainty could place Residents, Staff and Visitors at risk if a fire broke out and additional training in this area needs to be provided. Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 22 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 3 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 1 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13(2) Requirement The Registered Person must put a system into place for clear recording and auditing of medications to be returned. This will ensure that any missing medication is quickly noted and action taken. Timescale for action 14/02/07 2. OP10 16(m)(n) This is a previous inspection requirement. The Registered Person must 14/02/07 make suitable arrangements to ensure that the home is conducted in a manner, which respects the dignity of Residents. This is a previous inspection requirement. 3 OP2 5 The Registered Person must ensure that everyone living or moving into the home is provided with information about their terms and conditions of stay and fee arrangements, as laid out in regulations 5, 5A & 5B of the Care Homes Regulations 2001. 30/03/07 Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 24 4 OP9 13(2) The Registered Person must maintain a check of the temperatures in any areas where medication is stored. This will ensure that it is safely stored at all times. 14/02/07 5 6 OP19 OP29 13(4)(a) 19(1)(b) The Registered Person must ensure the radiator identified 15/12/06 during the site visit is made safe. The Registered Person must 28/02/07 ensure that all checks have been obtained for Staff currently working in the home. The Registered Person must not employ a member of Staff without a POVA check The Registered Person must obtain a Current CRB check when employing new Staff. This will ensure that people who are unsuitable to work in the home are not employed there. The registered person must ensure all Staff are aware of the action to take in the event that the fire alarm rings or a fire breaks out. 7 OP38 23(4)(e) 15/02/07 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 The Registered Person should arrange for consultation with Residents as to their preferences regarding leisure activities. This is a previous inspection recommendation DS0000061714.V296438.R01.S.doc Version 5.2 Page 25 Orrell Grange 2. OP12 The Registered Person should arrange for a social activities diary to be maintained in the home. This is a previous inspection recommendation 3. OP28 The registered person should support Staff to obtain an NVQ level 2 qualification. This is a previous inspection recommendation The Registered used bathroom The Registered programme for Person should review the use of an unfor medication storage. Person should compile a training all Staff. 4 5 OP9 OP30 Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Orrell Grange DS0000061714.V296438.R01.S.doc Version 5.2 Page 27 - 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!