Inspection on 25/05/06 for Palmersdene

This inspection was carried out on 25th May 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

Palmersdene 03/05/07

Palmersdene 06/01/06

Palmersdene 19/07/05

Palmersdene 22/02/05

Palmersdene 13/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Palmersdene Grange Road West Jarrow Tyne And Wear NE32 3JE Lead Inspector Sam Doku Key Unannounced Inspection 25th April to 15 May 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Palmersdene Address Grange Road West Jarrow Tyne And Wear NE32 3JE 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) 0191 428 0660 0191 483 7726 robert.lyall@anchor.org.uk sharon.blackwell@anchor.org Anchor Trust Robert William Lyall Care Home 40 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (40) of places Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2006 Brief Description of the Service: Palmersdene is a purpose built home, which was built in 1990 in a location that could be described as the centre of the local community. It is a 2-storey construction and is close to local shops, bus and metro services. There is also a range of community services such as G.P and religious places of worship. The home has its own driveway and private entrance to the front, in which there are some garden areas with bench seating and a goldfish pond. The home is registered to provide personal care for 40 older people over the age of 65 years. The home is registered to provide care for up to five people who suffer from dementia. The home has 40 single person rooms which are referred to as flats all with their own en-suite toilet facility. A range of communal lounges, dining facilities and bathing facilities are evenly distributed over the two floors. Palmersdene does not provide nursing care or intermediate care. However, where service uses require nursing intervention, suitable arrangements are made with GPs to support such nursing practices through district nursing/psychiatric nursing services. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a first Key Inspection for Palmersdene Care Home. The inspection was unannounced and began on the 25 April to the 15 May 2006. This involved: • Visits to the home on 15 and16 April and 15 May 2006 to look at the day to day management and care provided. These included interview with the manager, discussions with staff, discussions with service users and relatives, examination of care plans, risk assessments, staff file, fire safety records, service users’ finances, medication systems and other health and safety records. There were discussions with individual service users and some visiting relatives to find out from them how they find the care that is provided in the home. Four relatives were contacted by telephone to seek their views on the home and to find out if they are satisfied with the care that their relatives are receiving. Also, four social workers who have clients in the home were spoken with by telephone to seek their views on the care and management of the home. Pre-inspection questionnaires were sent out to service users and relatives. Nine responses were received form service users and three from relatives. These were very complimentary of the home, the staff and the care that is provided. There were discussions with the manager, the deputy manager and a selected number of staff and a tour of the building. • • • • The observations of staff practices and procedures, examination of documents and records and discussions with staff and management, also contributed to the inspection findings. The atmosphere in the Home was friendly, relaxed and comfortable throughout the time of the inspection. Service users appeared well cared for and comfortable with the staff. Staff were friendly and respectful in their manner and the care practices they were involved in. What the service does well: Meal times are well organised and service users commented very positively on the quality, presentation and portions offered. There are suitable Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 6 arrangements to ensure that service users receive varied and nutritious meals. Good choices of meals are offered. The home has an excellent system for seeking the views of service users on the quality of the meals. This helps when reviewing of the menus and cooking arrangements. The Anchor Trust provides good administrative support for the home, which allows the management to concentrate on care issues and staff development. This allows the management staff to concentrate of care practices which benefit the service users. The home is clean and maintained to a good standard. Recent refurbishment work and redecoration of the home has provided a nice and pleasant environment for the service users. As part of ensuring the safety of service users, suitable arrangements are in place for regular fire drills and instructions with all staff. A record is maintained for all the staff who have been involved in these exercises. A number of staff are undertaking Dementia Awareness training to provide further knowledge and understanding of dementia. This provided better understanding amongst care staff of the needs of people with dementia. It is anticipated that this training would be extended to all the staff who would eventually be working with the service users who suffer from dementia. All care staff have received moving and handling training form a senior staff member who has been trained to provide such training to the staff. The provider is committed NVQ training. Of the twenty care staff currently working in the home, 11 have NVQ Level II and 3 have NVQ Level III. The providers commitment to staff training is commendable. What has improved since the last inspection? The deputy manager confirmed that the practice of leaving delivered food items in the reception area and on the floor has now ceased and night staff have been instructed to ensure that food items are stored appropriately in the kitchen. The measures to reduce risk to individual people in the home were. These have been improved upon in some cases but they need to be extended to all the other risk assessments. Three care staff have commenced training on risk assessments. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 7 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. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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 Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Before admission, the care needs of the service users are fully assessed by the home and by other professional people. The home maintains and supports and encourages pre-admission visits to the home by prospective service users. EVIDENCE: Full assessments have been carried out by the social worker and copies being made available to the manager before admissions are arranged. The home carries out their own assessments of the individual in their own setting to make sure Palmersdene has the necessary skills and facilities to meet their need before offering a place to the prospective service user. These arrangements ensure that the social worker, the home, the prospective service user and the relatives are confident that the home is able to support and care for the person before they move in. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 10 These arrangements were commented on by service users and relatives as good practice and that they found it helpful and made it easier for them to decide on the home as their preferred choice. The home’s service user guide provides good information for prospective service users. Two relatives confirmed that they were offered the opportunity to visit the home and they did so with the prospective user before making up their minds. Three service users also described the arrangements for them to see the home and how the visit helped them decide on coming to live at Palmersdene. This provided a positive adjustment into residential care for some of the service users. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff provide care which is consistent with the assessed needs of the service users. However, the stated care needs in the care plans and risk assessments do not always support the current care needs of the individuals. EVIDENCE: The service users care plans set out their care needs and action plan for meeting these needs. However, some of the care plans lack regular review and therefore do not reflect the current care needs. The lack of review to reflect current care needs, and the poor filing system has the potential of overlooking a particular care programme. It also fails to provide adequate written evidence to the actual care that is being provided. Records show that the healthcare needs of the service users are fully met. The home continues to maintain record of contacts with healthcare professionals, including GPs, psychiatrist, chiropody service, dentist, optician and other healthcare services. Entries in the report books provide evidence that the Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 12 home continues to engage the services of community nurses in the assessment of pressure area care, tissue viability, and for general advice and support. This ensures that the service users rights to proper healthcare are being safeguarded by the home. Relatives and service users confirmed that the healthcare needs are met through the arrangements for them to have access to healthcare facilities. There are suitable arrangements in place for the storage and administration of medicines in the home. All the senior staff have received appropriate training in the administration of medicines. The drugs administration system was examined and there were no discrepancies. This ensures that the health and welfare of the service users are promoted by the good drug administration system operated by the home. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the care and support that allows the service users to maintain their way of life and to exercise choices. Service users are provided with varied and nutritious meals that meet their health and social needs. EVIDENCE: In the majority of cases the care needs of the service users have been clearly identified and methods of addressing those needs have been stated. In some of the files, the sections on social care contained limited information on the recreational and religious needs. However, there is evidence of service users’ religious and recreational needs being fully met. Service users confirmed that they enjoy the activities organised for them, including visit to the home by the local vicar. They also confirmed that they are free to join in social activities if they wish and that they are not made to join in activities if they do not want to. A number of art materials and board games are available for service users to use, which has enhanced the recreational activities for them. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 14 Two service users commented on the opportunities available to them to visit the local shopping centre. One carer described recent arrangement to take some service users to China Town in Newcastle for a Chinese meal. One service user confirmed this and stated that the arrangement was excellent and the three people involved thoroughly enjoyed the experience. Two visiting relatives commented on the opportunities for service users to experience social outings and in-house social activities. One other service user stated that the staff continue to support her to visit the local shops. Another service user showed his appreciation for the support given him to continue to maintain his interest in gardening. The two visiting relatives stated that they are able to visit at anytime convenient to them and were very appreciative of this level of flexibility. Service users, confirmed that the daily routines are organised flexibly to take account of individual likes and dislikes. A number of service users cited meal times and bed times as examples of such flexibility. The service users stated that although there are set times for meals, they can have their meals at separate times or in their room if they wish. This allows individuals to make positive choices about some aspects of their routines. A four-week rotational menu remains is operation in the home. Examination of past menus indicated that the home provides wholesome and nutritious meals for the service users thus promoting good health. The menus provide evidence of varied and nutritious meals. Service users were extremely complimentary of the food and confirmed that they are provided with good choice and that there is always plenty of food for them. Two service users stated that they are never disappointed with the food provided and there is always plenty to eat. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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, 17, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and practices in the home ensure that the service users are protected from all forms of abuse. EVIDENCE: The home has in place a satisfactory policy and procedural guidance on abuse and staff are aware of how to use the ‘Whistle Blowing’ policy should this become necessary. The Service User Guide and Statement of Purpose have summaries of the complaints procedure. Copies of these are available to service users and their relatives and therefore provide the opportunity for them to complain if they wish. Service users and relatives confirmed that any concerns or complaints they may have would be treated seriously with the view to safeguarding the welfare of the service users. Suitable training on protection of vulnerable adults (POVA) has been provided for the majority of the staff working in the home. The staff who were spoken with showed good understanding of the POVA procedures and showed awareness of the need to protect service users from all forms of abuse. Previous complaints were appropriately dealt with under the home’s protection of vulnerable person’s procedure, thus providing further confidence amongst service users and relatives that all concerns are taken seriously and appropriately addressed. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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, 21, 22, 23, 25, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides accommodation and equipment that meet the needs of the service users. The home is generally clean and maintained to good standard. However, some bedrooms suffer from odour problems which impacts negatively on the selfesteem of the service users. EVIDENCE: Palmersdene is a home designed to accommodate older people, some of whom may have mobility problems. Access into and within the home is good and meets the needs of those service users who have mobility difficulties or have use of walking aids such zimmer frames or wheelchairs. There are specialist bathing facilities to promote independent use by those who are capable of Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 17 doing so. All flats have en-suit toilet facilities. This provided the opportunity for service users to remain independent and to enjoy good levels of privacy. The home is close to local shops, other amenities, and to local transport routes. These provide the opportunity for service users to continue to exercise independence and choice and to facilitate access to community facilities. Staff support service users to visit the local shops. Those service users who have had such support expressed their gratitude for the opportunity to continue to visit the local facilities. Window restrictors have been fixed to all windows and all radiators have suitable coverings. Checks of hot water at randomly selected bathrooms confirmed that hot water did not exceed 43°c. thus protecting the service from accidental injuries. Some rooms have exposed pipe works and these must be boxed-in as they present as potential risk injury to the service users who occupy those rooms. The home has written policies and procedures relating to safe handling of hazardous materials for staff to follow. The manager indicated that staff have had training in health and safety, infection control and food hygiene but the training record show that most staff have not received such training or are due for refresher training in these areas. The home was noted to be clean and in general free from offensive odour. However, a number of flats were noted to have problems with odour. The manager acknowledges this problem and described the strategies put in place by the domestic staff to address this. A relative commented that the general cleanliness in her mother room is not up to standard. She indicated that often her mother’s bed sheets were soiled and on two occasions she noticed excrement on the door handle. This compromises hygiene safety in the home. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home maintains sufficient staffing levels to meet the needs of the service users. However, not all the staff have had the necessary mandatory training to better equip them for their role as carers. The good recruitment procedures in the home safeguard the safety and welfare of the service users. EVIDENCE: Past rotas showed staffing levels being consistently maintained. Staff confirmed that the home has maintained the appropriate staffing levels which ensured that care needs of the service users are met. Service users and relatives also indicated that there are always sufficient staff on duty to meet the needs of service users. The home continues to place emphasis on training the care staff to NVQ Level 2 or above. 11 care staff have achieved NVQ Level II and three have achieved NVQ Level III. Staff who have had NVQ training spoke of how the training had boosted their confidence in their care practices for the benefit of the service users. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 19 Staff stated that they have had training in moving and handling, first aid, fire safety training, food hygiene, challenging behaviour management, falls prevention and protection of vulnerable adults awareness training. However, the pre-inspection information relating to staff training indicated that staff training in fire training, first aid, health and safety and infection control are not up to date. Staff confirmed that individual supervision arrangements are taking place with some staff but this is not at the frequency to meet the national minimum standard. Records relating to induction are poor with no evidence of the training being followed throughout the first six week of employment. The induction training records are retained by the staff and there were no evidence on the staff files to indicate that the home is providing the proper induction programme for new carers. The manager was again reminded of the need to maintain accurate and up to date record of staff supervision, induction and training. It was also pointed out that a copy of each trainees induction programme should be retained on their personal file as evidence of training being provided. Suitable induction training is required for all new staff to ensure that they have the basic knowledge and skill necessary to promote eth welfare of the service users in their care. The records of the most recently appointed staff were examined. These contained evidence of good recruitment procedures being followed. This ensured that the service users are protected from possible abuse from people who would be deemed as not suitable to work with vulnerable people. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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, 36, 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has suitable arrangements that ensure service users monies are safe and properly accounted for. There are good care practices in place that protected the safety and welfare of the service users and the staff. However, the lack of training to all staff in mandatory training seriously compromises the safety and welfare of the service users. EVIDENCE: The manager has long experience of working in care setting for elderly people. He has suitable social work qualification and has completed the NVQ Level 4 in management. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 21 The home has a good system in place for managing the personal allowances for the service users. Details of purchases and receipts are available for those whose monies are held by the home. Some staff indicated that they have supervision sessions with the seniors. However, as stated earlier in this report, some staff are not getting supervision on a regular basis. This must be addressed to ensure that appropriate support is available to all staff in promoting their professional development for the benefit of the service users. The company’s Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). This must be complemented with the relevant training which would promote and safeguard the safety and wellbeing of the service users. Servicing records confirm that all portable appliances have been tested. A record is maintained of regular water temperature tests in the home. Regular servicing of fire equipment, gas and electrical appliances being carried out by the contracted companies. All the servicing records that were examined were up to date. These included servicing of hoists, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the service users and the staff who work there. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection are now taking place. There are now records in the home indicating fire drills and fire instructions with staff. This has been encouraging and contributes to the safety and welfare of the service users. Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 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 3 18 3 3 X 3 3 3 X 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 2 Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 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 OP7 Regulation 15(1)and 15(2)(c) Requirement Care plans do not always reflect the current care needs of the service users. Suitable arrangements must be put in place to ensure that care plans are regularly reviewed and new ones formulated to reflect the current care needs and management. The radiator pipes in some of the bedrooms are exposed and suitable risk assessments and risk management strategies must be put in place to safeguard the welfare of the service users. The exposed radiator pipes in some bedrooms must be boxedin to safeguard the welfare of the people who live in those rooms. Suitable arrangements must be made to ensure that the problems with unpleasant odour in some flats are addressed. Senior staff who are responsible for carrying out risk assessments must receive suitable training to DS0000000248.V291333.R01.S.doc Timescale for action 01/07/06 2 OP25 12(1)(a) 01/07/06 3 OP25 12(1)(a) 30/11/06 4. OP26 16(2)(k) 31/08/06 5 OP30 13(4)(c) 30/08/06 Palmersdene Version 5.1 Page 24 enable them to carry out this task effectively in order to promote the welfare and safety of the service users. 6 OP36 18(2)(a) Suitable arrangements must be 30/06/06 made to ensure that all staff receive appropriate supervision and records of such supervision must be maintained. All new staff must receive 01/06/06 induction training and evidence such training must be kept in the home for training, supervision and inspection purposes. All staff must receive up to date 01/12/06 mandatory training including first aid, health and safety, food hygiene and fire safety training. 7 OP36 18(c)(i) 8 OP38 18(1)(a) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Palmersdene DS0000000248.V291333.R01.S.doc Version 5.1 Page 26 - 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!