Inspection on 18/12/06 for Palm Court

This inspection was carried out on 18th 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

Palm Court 19/12/05

Palm Court 05/07/05

Palm Court 22/02/05

Palm Court 13/10/04

Palm Court 21/02/04

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 Palm Court 1 Curzon Road Hoylake Wirral CH47 1HB Lead Inspector Inger Moynihan Key Unannounced Inspection 09:00 7th and 15th December 2006 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 Palm Court DS0000018923.V307757.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. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Palm Court Address 1 Curzon Road Hoylake Wirral CH47 1HB 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) 0151 632 0900 Mr Michael Arthur Burke Mr Anthony Crane Mrs Jacqueline Burke Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: Palm Court is a private residential care home providing 24 hour personal care and accommodation for 18 older people. Palm Court is owned by Mr M Burke and Mr A Crane and is managed by Mrs J Burke. The home is located close to Hoylake town centre which has a range of shops, pubs, a post office, bank and other town amenities. A rail network gives easy access to Liverpool and other parts of the Wirral. The home is also within a five minute walk of the promenade. The accommodation is provided on three floors. All bedrooms are single occupancy some with en-suite facilities. The size of the rooms vary considerably. A lift is available to all floors. The communal rooms comprise of a lounge, a snug and a dining room. There is a garden at the back of the property along with patio furniture. The front of the home is mainly taken for parking although this has been made attractive with plants and hanging baskets. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information about Palm Court was obtained through discussion with the Registered Manager and members of the staff team. Policies, procedures and supporting documentation were looked at along with a selection of service users’ case files. Service users and staff were spoken to during the visit for the purpose of obtaining their views on the standard of the service. The CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘Experts by Experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘Experts by Experience’ used in this report describes people who have been appointed by Help the Aged, under the direction of the Commission for Social Care Inspection, to take part in the inspection of services for older people. The fees at Palm Court range from £350 to £420 per week. What the service does well: Service users only move into the home after their needs have been assessed and they have been assured these needs will be met. Service users health care needs are set out in an individual plan of care which gives staff the information they need on how to look after the service users properly. Service users have access to healthcare professionals to ensure they maintain good physical and emotional well-being. All of the service users spoken to during the visit confirmed their needs were fully met and they were very happy with the care they received. One service user said when I was not well the staff called my GP straight away, they are very efficient when it comes to these things. All of the service users spoken to during the visit confirmed the staff treated them with respect. The Expert by Experience reported that during conversation with service users they said the staff were very caring and nothing was too much trouble. Staff take responsibility for service users medication to ensure their safety and welfare. A range of social activities are provided to ensure service users mental stimulation and to prevent them from becoming bored. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 6 The routines in the home are flexible which means service users can exercise choice and control in their lives. A varied diet is provided to ensure service users interest and good health. All of the service users spoken to during the visit commented on the high standard of food. They confirmed a choice was always available. The service users spoke highly of the Registered Manager and stated she was always available for support and assistance when necessary. One service user commented Jackie (the Registered Manager) is very kind and cant do enough to help me. Another service user said I really cannot speak highly enough of the manager. She goes out of her way to make things easier, she is absolutely marvellous. The relative of one service user also commented on the caring nature of the staff team saying she thought the staff were very helpful and attentive to service users care needs. A complaint procedure is in place to ensure service users and their carers views are listened to and acted upon appropriately. Systems are in place to ensure service users are safeguarded from abuse. The service users spoken to during the visit reported the staff are very kind and caring and they had never experienced any form of abuse. The standard of the decor at Palm Court remains high and provides a comfortable and pleasant environment for service users to live. Service users needs are met by appropriate staffing levels. Checks are carried out prior to staff being employed to ensure they are suitable to work with vulnerable adults. Staff are provided with a range of training to ensure they know how to care for the service users properly. The staff spoken to during the visit said they enjoyed their work and felt well supported in their role. They confirmed they had completed a range of training and had access to senior members of staff for support and advice. The home is run for service users best interest. Quality assurance systems are in place to ensure the ongoing improvement of the home. The Expert by Experience noted in his report Palm Court is a very well run and homely care home. The residents are very well taken care of, happy and safe, pleasant environmental surroundings. A Community Nurse had recorded in the homes comment book always a pleasure to visit this home, happy staff who are extremely helpful. The relative of one service user recorded it would be nice to think that all residential homes were as good as Palm Court. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: 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. Palm Court DS0000018923.V307757.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 Palm Court DS0000018923.V307757.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 and 6 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users only move into the home after their needs have been assessed and they have been assured these needs will be met. EVIDENCE: An assessment of service users care needs is always carried out to ensure the staff have the necessary information on how to provide the appropriate package of care. All of the service users spoken to during the visit confirmed their needs were fully met and they were very happy with the care they received. Intermediate care is not provided at Palm Court. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 and 10 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users health care needs are met. Some improvements need to be made to the way the care plans are reviewed to ensure staff have all the information they need on how to look after the service users properly. Service users have access to health care professionals to ensure they maintain good physical and emotional well-being. Systems are in place to ensure service users receive their medication as prescribed by their GP and to ensure their health and welfare. Service users said they are always treated with respect and their right to privacy is upheld. EVIDENCE: Service users health care needs are documented into a plan of care which provides staff with the information on how to look after the service users in accordance with their particular needs. Staff also monitor and record details of Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 11 service users general welfare and visits made by health care professionals. Risk assessment have being carried out a to ensure service users safety and welfare. More detailed information needed to be collated in the risk assessments to ensure they reflect service users individual care needs and identify the level of risk. The documentation must also give staff details of the action they should take to minimise the level of risk of harm occurring. Although the care plans had recently been reviewed, the registered person must ensure all aspects of a service users care needs are included in this review process. It is only by doing this can the staff be sure they are providing the correct level in care. The service users spoken to during the visit confirmed the staff contact relevant health care professionals when they are unwell. A record of any visits made is kept to enable staff to monitor service users general welfare. One service user reported when I was not well the staff called my GP straight away, they are very efficient when it comes to these things. All of the service users spoken to during the visit confirmed the staff treated them with respect and ensured their dignity was maintained when carrying out personal care. Systems are in place for the safekeeping and handling of service users’ medication and only trained staff are allowed to administer medication. The service users spoken to during the visit confirmed they always received their medication as prescribed by their GP. All of this ensures service users ongoing good health. The Expert by Experience noted in his report that he spent time in the sitting room and noticed a present with each service users name on was set out around the Christmas tree. He reported that during conversation with service users they said the staff were very caring and nothing was too much trouble. The service users spoke highly of the Registered Manager and stated she was always available for support and assistance when necessary. One service user commented Jackie (the Registered Manager) is very kind and cant do enough to help me. Another service user said I really cannot speak highly enough of the manager. She goes out of her way to make things easier, she is absolutely marvellous. The relative of one service user also commented on the caring nature of the staff team saying she thought the staff were very helpful and attentive to service users care needs. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A range of social activities are provided at the home to ensure service users mental stimulation and to prevent them from becoming bored. The routines in the home are flexible which means service users can exercise choice and control in their lives. A varied and enjoyable diet is provided to ensure service users interest and good health. EVIDENCE: The service users confirmed a range of social activities are provided which they are free to participate in if they wish, this also includes Christmas activities. Service users have their own routines and are free to go about their day as they wish. The Expert by Experience noted in his report that service users spend time on the sea front which is close to the home. He also noted there were photographs around the home from past days out. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 13 The service user spoken to during the visit confirmed they could meet with their visitors in private which means they can maintain friendships and family links. All of the service users spoken to during the visit said they enjoyed the meals and confirmed a choice of meal was also provided. Service users specific dietary needs are met. The food stores were well-stocked with a good selection of food. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A complaint procedure is in place to ensure service users and their carers views and opinions are listened to and acted upon appropriately. Systems are in place to ensure service users are safeguarded from abuse. EVIDENCE: A complaint procedure is in place to ensure service users and their carers views and concerns are listened to and acted upon appropriately. The service users spoken to during the visit reported they were very happy with the standard of care they received and had no complaints to make. The staff confirmed they knew what action to take in the event of them receiving a complaint. The CSCI has not received any complaints about the service provided at Palm Court. Systems are in place to ensure service users are safeguarded from abuse and neglect. A copy of the Wirral adult protection procedure is in place along with supporting documentation which staff can refer to when necessary. The staff spoken to during the visit demonstrated a basic understanding of this issue and were clear on the action they should take in the event of them suspecting or knowing an incident of abuse had occurred. They confirmed they had undertaken recent training in this area of care provision. The service users spoken to during the visit reported that staff were very kind and caring and they had never experienced any form of abuse. The telephone number of Acton on Elder Abuse was displayed on the notice board although it was Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 15 recommended that this information is given directly to staff and service users so they know who to contact if they wish to raise any concerns anonymously. Palm Court DS0000018923.V307757.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 and 26 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The standard of the decor at Palm Court remains high and provides a comfortable and pleasant environment for service users to live. EVIDENCE: The standard of furnishing throughout the home remains high and provides the service users with a very comfortable and attractive environment in which to live. The communal areas had been decorated for Christmas and the home looked particularly festive and homely. On the day of the visit the home was clean and tidy and pleasantly warm. All bedrooms are single occupancy which ensures service users privacy. A programme of routine maintenance and renewal of the fabric and decoration of the building is in place. The bathroom on the middle floor needs redecorating as does the bathroom on the top floor which had damp patches Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 17 on the wall and ceiling. This will ensure service users can have a bath in a comfortable and pleasant environment. A hydraulic chair lift is provided in a bathroom on the ground floor to assist service users when having a bath. Although a manual bathing aid is provided in one of the other bathrooms, it was reported that service users prefer to use the bathroom on the ground floor. To ensure service users comfort and welfare and to prevent the service users who live on the top and middle floor from having to go downstairs for a bath, appropriate and suitable bathing facilities must be provided in all bathrooms. An efficient laundry system is in place which means service users clothes are looked after properly. To ensure service users safety and welfare, the laundry room must be kept locked when not in use. Policies and procedures for the control of infection are in place and staff have undertaken training in relation to this aspect of care provision. Palm Court DS0000018923.V307757.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 and 30 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users needs are met by appropriate staffing levels. Appropriate checks are carried out prior to staff being employed to ensure they are suitable to work with vulnerable adults. Staff are provided with a range of appropriate training to ensure they know how to care for the service users properly. EVIDENCE: The Registered Manager reported that changes had been made to the management staffing hours. She stated that both she and the Deputy Manager are now running the home together and that because she is planning to retire in the near future, she has reduced her working hours. The staff rota for the week of the visit indicated the Registered Manager now works three days (27 hours) with the Deputy Manager working four days (36 hours). As a result of this change the Deputy Manager has taken on more responsibility for the day to day running of the home with a view to applying to the CSCI to become Registered Manager of the service. The Registered Persons are reminded that although the Registered Manager has reduced her hours she remains responsible under the Care Standards Act 2000 for the day to day management of the home and the care and protection of the service users. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 19 There are currently 14 service users living at home. The staff rota indicated there was a minimum of two staff on duty between the hours of 8 am and 5 pm, although on three days of the week there were three staff on duty. The staff spoken to during the visit stated there were sufficient staff on duty each day to enable them to carry out their work and care for the service users properly. The service users reported they receive a high standard of care and the staff are always available for support and advice. Sufficient ancillary staff are provided to ensure the building is kept clean and tidy. Documentation was in place to indicate appropriate checks had been carried out on all staff to ensure they are suitable to work with vulnerable adults. A photograph of each staff member and evidence of the persons mental and physical health was not in place. The Registered Persons are required to ensure all of the necessary information is in place in relation to staff records. Staff training records were in place although a certificate to confirm attendance on these training days was not always available. All staff are provided with induction training when first employed. This gives staff information on how they should fulfil their responsibilities with regard to the health, safety and welfare of the service users. The Registered Persons must ensure this training is in line with guidelines issued by the Skills for Care. The staff spoken to during the visit said they enjoyed their work and felt well supported in their role. They confirmed they had completed a range of training and had access to senior members of staff for support and advice. Palm Court DS0000018923.V307757.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 32 33 35 and 38 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is run for service users best interest. Quality assurance systems are in place to ensure the ongoing improvement of the home. The health and safety of the staff are service users is promoted although some improvements need to be made to the supporting documentation. EVIDENCE: Palm Court is run for the best interests of the service users. The Registered Manager is competent and experienced to run the home. The ethos of the home is based on ensuring service users receive a high standard of care and are able to live in a relaxed and comfortable atmosphere. The Registered Manager reported that changes are being made to the ownership of the home Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 21 of the home. This issue is currently being looked into outside of the inspection process. The Expert by Experience noted Palm Court is a very well run and homely care home. The residents are very well taken care of, happy and safe, pleasant environmental surroundings. While a formal quality assurance system is not in place, systems have been implemented to monitor different aspects of care provision and to ensure the ongoing efficient running of the home. Service users spoken to during the visit confirmed their care needs were fully met and they were very happy with the care they received. Palm Court has a comment book which relatives and health care professionals can record their views on the standard of care provided at the home. A Community Nurse had recorded in this book always a pleasure to visit this home, happy staff who are extremely helpful. The relative of one service user recorded it would be nice to think that all residential homes were as good as Palm Court. An issue arose around the use of one of the bedrooms as a double room when it had not been registered on this basis. In the light of this situation the Registered Persons must ensure this couple are also offered the use of another bedroom which they may use as a lounge or day room. This issue will be addressed with the Registered Providers outside the inspection process. The Registered Manager does not routinely manage service users money although it has been agreed with family members that she can take on this responsibility for a couple of service users. A selection of service users financial records were looked at; these records were accurately maintained. Systems are in place to ensure service users health, safety and welfare are promoted. Staff have been provided with a range of training in relation to health and safety and plans have been made for further training to be provided early next year. Maintenance checks have been carried out on equipment around the building such as the electrical wiring, the lift and small electrical appliances etc. Supporting policies and procedures were in place although the Registered Manager acknowledged that improvements need to be made in this area to ensure staff have the most up to date information on how to ensure service users safety and welfare. Particular reference was made to the guidance issued to staff in relation to carrying out a risk assessment to minimise the risk of service users coming to any harm. The Registered Manager acknowledged that fire safety training needs to be provided to all staff before the end of the year. A record is kept of any accidents that have occurred. While the official Health and Safety Executive accident was book was in place, this was not being used and an informal record was being kept. To ensure all of the necessary information is recorded in relation to any accidents that occur and the Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 22 Registered Persons are complying with the Health and Safety Executive Regulations, the appropriate record book must be used. Palm Court DS0000018923.V307757.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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 2 Palm Court DS0000018923.V307757.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 OP7 Regulation 13 & 15 Requirement The Registered Persons are required to ensure more detailed information is collated during the risk assessment process. The Registered Persons are required to ensure all aspects of a service uses care plan is reviewed. The Registered Persons are required to repair the damp in the bathroom on the top floor. The Registered Persons are required to redecorate the bathrooms on the middle and top floor. The Registered Persons are required to ensure suitable adaptations and facilities are provided to assist service users with their bathing. The Registered Persons are required to ensure the laundry door is kept locked when not in use. The Registered Persons are required to ensure staff records hold all of the necessary information to ensure they are suitable to work with vulnerable DS0000018923.V307757.R01.S.doc Timescale for action 29/01/07 2 OP7 15 29/01/07 3 4 OP19 OP19 23 23 29/01/07 12/02/07 5 OP19 23 12/03/07 6 OP19 13 01/01/07 7 OP29 18 12/02/07 Palm Court Version 5.2 Page 25 8 OP30 18 9 OP38 18 adults. The Registered Persons are 12/03/07 required to ensure staff induction training is in line with the guidelines issued by the Skills for Care. The Registered Persons are 12/03/07 required to ensure all policies and procedures are reviewed and updated. 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 OP18 Good Practice Recommendations It is recommended that the Registered Persons give each service user and staff member the telephone number of the organisation Action on Elder Abuse. This will ensure they know who to contact if they wish to raise an anonymous concern about the care provided at the home. Palm Court DS0000018923.V307757.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Palm Court DS0000018923.V307757.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!