Inspection on 13/07/06 for Park Lane Residential Home

This inspection was carried out on 13th July 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

Park Lane Residential Home 04/06/08

Park Lane Residential Home 30/05/07

Park Lane Residential Home 11/08/05

Park Lane Residential Home 28/04/05

Park Lane Residential Home 17/11/04

Park Lane Residential Home 02/08/04

Park Lane Residential Home 01/03/04

Park Lane Residential Home 20/11/03

Park Lane Residential Home 09/01/03

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

CARE HOMES FOR OLDER PEOPLE Park Lane Residential Home 7-9 Park Lane Congleton Cheshire CW12 3DN Lead Inspector Judith Morton Key Unannounced Inspection 13th July 2006 14:00 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 Park Lane Residential Home DS0000040963.V296053.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. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lane Residential Home Address 7-9 Park Lane Congleton Cheshire CW12 3DN 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) 01260 290022 01260 290022 Winnie Care (Park Lane) Ltd Wendy Joan Gregory Care Home 42 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (18), Old age, not falling within any other of places category (42) Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 42 service users to include: • Up to 42 service users in the category of OP (old age not falling within any other category • Up to 18 service users in the category of DE(E) (dementia, over the age of 65 years) • One named service user in the category of DE (dementia, over the age of 50 years). The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The registered provider must provide staff to meet the dependency needs of service users at all times and shall comply with any guidelines which may be issued through the Commission for Social Care Inspection. The matters in the attached schedule of requirements must be completed within the stated timescales. 11th August 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Park Lane is a care home owned by Winnie Care [Park Lane] Ltd. It is close to Congleton town centre and is near to all community facilities and public transport. There are a small number of car parking spaces available at the home. Park Lane has been purpose built to provide care to up to 42 older service users. The home is divided into five wings, one of which is designed to provide a more secure area for people who have dementia. The home is a three-storey building, accommodation being situated on lower ground, ground and first floors. Six service users who are more able to care for themselves have the rooms on the lower ground floor. Access between floors is via a passenger lift or the stairs. Service users accommodation consists of 38 single rooms, 36 of which have en-suite facilities, and two double bedrooms both with en-suites. There are 5 day/quiet rooms available for service users. There are sufficient numbers of toilets and bathing facilities to meet the required standard. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 5 The main entrance of the home, plus a number of internal doors, is opened by a keypad system. There is a bench outside the entrance to the care home and several small patios around the home. There is an enclosed garden at the rear of the home. On 13/07/06, the manager said that the weekly charges for residents ranges from £ 343.00 to £434.00. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit, part of the key inspection for this service, took place over 11 hours, spread over two days, on 13/07/06 and 17/07/06. The second visit took place from 3.30pm until 9pm so that the inspector could attend the handover meeting to night staff and also spend some time talking with the night staff to obtain their views of the home. Three residents’ care files were checked as were three staff files, staffing rota, health and safety checks, induction and training matrix, menu and supervision rotas. Discussion with 9 residents, 10 staff, which included the service manager, registered manager; day and night care staff, three visitors and the psychiatric nurse advisor, took place over the two days. Three completed CSCI questionnaires from residents, with comments from relatives added, were also returned to the Commission for Social Care Inspection and the comments from these and discussions have been included within the report. The manager had provided information via a pre-inspection questionnaire and a completed questionnaire was returned from the social worker of a resident at the home. A tour of the home was made and the inspector joined the residents for their evening meal on the second visit. What the service does well: What has improved since the last inspection? Since the last inspection the manager has put the photographs of those residents who have difficulty in finding their room, on their bedroom doors. There has been a new carpet fitted to the whole of the ground floor and the garden and patio area have been completed in time for the summer. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 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. Park Lane Residential Home DS0000040963.V296053.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 Park Lane Residential Home DS0000040963.V296053.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): 2, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The pre-admission assessment contained sufficient information about the resident to show that their needs could be met at Park Lane. EVIDENCE: There was a pre admission assessment on each of the five residents files checked. This included a front sheet that contained thorough identification information, contact information, medical history, current medication and religion. Although the religion was recorded, the form did not indicate whether or not the resident still followed that religion so the home could take this into account in meeting the person’s needs. (See recommendation 1) There was sufficient information in the assessment for the manager to know whether Park Lane would be able to meet the persons’ specific needs. A risk assessment had been completed for any risks identified at assessment. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 10 There was a contract agreement held on a separate file for each resident. This indicated what was to be provided for the resident, which bedroom they were to have and who was responsible for payment. All parties, including the resident, where able, had signed it. One resident had recorded on their questionnaire that they received the contract very promptly on admission. The home accepts residents for intermediate care and there is evidence to show that the staff work closely with the intermediate care team to ensure the resident returns home with an appropriate care package within 2 – 3 weeks. Park Lane Residential Home DS0000040963.V296053.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 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Although staff needed to ensure that changes in residents’ needs were always accurately recorded, the care plans are thorough and reviewed regularly so residents continue to receive the care they need. EVIDENCE: Three residents’ care files were checked. There was an additional form on each file for the key worker to record their review of the care plan on a monthly basis. Reviews were clearly happening but the staff did not always alter the care plan to reflect the changes that had occurred over the month. For example, it was recorded that one resident had a significant increase in joint pain, which required increased medication. The resident had also developed a pressure sore yet this was not reflected on the resident’s mobility assessment and care plan. On the same resident’s file there was no recording of weight on admission. There was a weight chart dated 01/06/06 but this had not been completed. The resident’s notes identified that the resident’s dietary intake was poor, which was also a change from the original assessment. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 12 The manager should review the files regularly to ensure that changes are being clearly identified and the plan to manage the change is appropriate. The manager should sign to say that this has been done. (See recommendation 2) The daily recordings made by staff continue to improve but not all staff record all care given during each day. For example, one resident’s daily recordings for 1 month fail to mention that the resident had had a bath, hair washed, teeth cleaned or joined in/refused to join in any activity. The care plan clearly describes how often these things should happen and the monthly review confirms that regular baths have been given but this has not been recorded in the daily records. Care staff must record accurately the care given to each resident and ensure that recordings reflect the care plan. (See requirement 1) There were clear records of visits from health professionals, such as district nurse, GP, dietician, psychiatric nurse and chiropodist. Additionally visits to, or by, the dentist and optician were recorded. Medication storage and records were inspected. The medicines were being stored safely and the records were accurate, with the correct coding being used when required. All of the senior care staff had received training in the administration of medication. The manager said that in about one months’ time the home will be adopting a new system of medication administration and pharmacy training will be given to the manager and all staff who administer medication. The staff were seen and overheard to talk to the residents in an appropriate and respectful manner. One resident wrote in the questionnaire; “the girls are very caring and look after me well. The girls are friendly and gentle”. Some residents were seen to spend time in their bedroom after lunch and staff were observed knocking on the doors before entering. Park Lane Residential Home DS0000040963.V296053.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 Quality in this outcome area is adequate. This judgement has been made using available evidence and a visit to the service. An increase in the number and variety of activities offered at Park Lane, particularly those that don’t rely on staff time, would ensure the residents remain stimulated and mentally and physically active. EVIDENCE: The residents spoken with over the two days said that there were some activities offered and they could choose whether they wanted to participate in them. A number of residents said that they felt there could be more activity; one resident referred to a time when some residents would go out for the day and said that he would like to go out more often. Another resident suggested that arts and craft could be done more frequently and that she would be prepared to teach other residents’ art and craftwork, as this is what she used to do. Occasional short trips out and more stimulating activities and entertainment should be provided and the residents should be consulted over what these could be. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 14 Two residents confirmed that they would attend residents’ meetings if they happened. Consideration should be given to having these meetings to that residents’ views about the running of the home could be discussed. Residents can have visitors at any time and visitors were seen, and some spoken with over, the two days of this visit to confirm this. The visitors’ book was being signed and showed the volume of visitors calling to the home. On one of the days of the visit, one resident had been out for lunch with a family member and was returning to Park Lane for the evening meal. The residents spoken with said they were free to go where they wanted, when they wanted, within Park Lane. Some residents chose to spend time in their room; this varied from a few hours after lunch to the whole day. Other choices being made in differing degrees were what time to get up or go to bed, what to wear and what to eat at lunch. Residents were seen being offered a choice at lunch and teatime. The possibility of providing a menu with pictures of the meals on offer, to promote choice, or act as a reminder to residents of what is for lunch, was discussed at the last two inspections but so far had not been put into place. (See recommendation 3) The residents spoken with and the responses on the questionnaires were very positive about the food at Park Lane. One resident said it was “ of a very high standard”, another said that “there is always plenty to eat and drink and it is lovely”. All the seats in the dining room were taken at lunchtime and teatime. The dining room was quite crowded and one resident had difficulty in getting to her seat without another resident having to get up and move away from the table. One resident remained in the lounge for tea as she was distressed and agitated and this could affect the other residents. Consideration should be given to ways in which all residents can eat their meals comfortably at a table. (See recommendation 4) Park Lane Residential Home DS0000040963.V296053.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 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Complaints are responded to well at the home so residents and relatives can be sure their concerns will be listened to. Staff have completed adult abuse awareness training so they can protect residents from possible harm and poor practice. EVIDENCE: Park Lane had had one complaint since the last inspection. The manager had responded to this in an appropriate manner, following policy and procedure. Detailed records were kept on file and further improvements to the way complaints were recorded, to ensure that the outcome was identified, were discussed. (See recommendation 5) The manager had received training on awareness of adult abuse when she completed NVQ level 3, as had those staff who have completed their NVQ levels 2 and 3. Adult abuse awareness training should be provided to all staff, including domestic, housekeeping and maintenance staff. (See recommendation 6) Park Lane Residential Home DS0000040963.V296053.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, 20, 22, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The environment at Park Lane is well maintained so that residents have a safe, comfortable and homely place to live in. EVIDENCE: The manager had had the floor treated and the flooring in the toilet replaced, where the odour was coming from, that was identified at the last inspection. The carpets on the whole of the ground floor corridor had been replaced. The garden area had been completed and made safe for the residents to use since the last inspection, increasing the number of communal areas for the residents. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 17 There is a range of equipment and adaptations designed to maintain the independence of service users throughout the home. These include grab rails along corridors and in toilets/bathrooms, baths that have been adapted for the use by disabled people, freestanding hoists and raised toilet seats. A new set of electronic scales that can also measure body mass index had been purchased since the last inspection. It was suggested at the last inspection that, to promote the longer-term independence of the residents who have dementia, steps are taken to help them find their way around the home and to recognise their own rooms, toilets and bathrooms. The manager had attached photographs for those residents who have this condition to their bedroom door. As one or two residents had removed the photographs from the doors, it is recommended that methods should be found to ensure the signs/photographs could not be removed. (See recommendation 7) The questionnaires returned to the Commission for Social Care Inspection showed that there continues to be some dissatisfaction with the upkeep of residents’ clothing. Residents said some items of clothing are still going missing whilst others said there were buttons missing and small repair works were not being carried out. The manager must explore methods of ensuring that all residents’ clothing is returned to their rooms after washing and any repairs are made before it is returned. (See recommendation 8) The bedrooms viewed by the inspector were adequately sized and furnished. The residents had decorated their room with photographs, pictures and ornaments from their own home. Some of the residents were clearly proud of their rooms and were keen to show them to the inspector. One resident spoken with felt he had the best room in the house. The residents were seen to move about freely and had a number of lounges available to them in which they could spend their time. They were also able to spend time in their own room if they wished. Park Lane Residential Home DS0000040963.V296053.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 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The thorough recruitment practices being followed increase the safety of the residents, however, ensuring that staff from all shifts receive adequate amounts of training will add to the protection of the residents. EVIDENCE: The staff rotas showed that there was sufficient staffing available to meet the needs of the residents and, on occasion when there was no sickness or annual leave, the manager was supernumerary. The staffing consists of administrator, care staff, senior care staff, principal senior care, deputy manager and manager. The questionnaires returned, and residents spoken with, reflected this as they said the staff generally responded to their needs well, they were helpful and worked very hard. Three staff files were checked. These included newly appointed staff. All of the documentation necessary for the safe recruitment of staff was present on the files, indicating that correct recruitment policy and procedure was being followed. All of the care staff have completed, or are currently doing, induction training. Staff training included health and safety, fire training, safe moving and handling, food hygiene and first aid. A further four staff had completed their Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 19 NVQ level 2 and two staff had completed NVQ level 3 since the previous inspection. Most of the ancillary staff had obtained NVQ level 1. Not all of the staff working in the dementia care unit had received training about this condition to enable them to provide appropriate care to the residents in the unit. (See requirement 2) Night staff spoken with said that their training needs could not always be met as easily as for day staff as it depended on their shift pattern. Additionally, they were no longer paid for the additional time they attended in house training, even though this would mean arriving for work earlier than their shift time or attending training during the day. Consideration needs to be given to ensuring that night staff are provided with the same opportunities for training as day staff receive. (See recommendation 9) Park Lane Residential Home DS0000040963.V296053.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, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence and a visit to the service. Regular, recorded supervision sessions would ensure that all staff were practicing to a high standard and give them an opportunity to discuss with the manager, any areas of concern or training that they have. EVIDENCE: The manager has worked in care related services for a number of years and has recently completed the NVQ Level 4. She said she had learned a lot from it and it had increased her confidence about her ability to fulfil the role of Registered Manager. Staff spoke well of the manager and said they felt she was approachable. Observation of their interaction with the manager over the two days confirmed this. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 21 There is not a formal method of the home consulting with residents, relatives and professionals about the care given at Park Lane. Consideration must be given to ways of obtaining the views of the residents and promoting their choice over things that directly affect them while living at Park Lane. (See requirement 3) Staff at the home do not deal with any of the residents’ money. There is petty cash for purchasing small items for the home and if a resident requested some money they would be given it from this. An invoice would then be made to request this money back from head office. The petty cash and the records are well maintained by the manager and administrative assistant. The manager had commenced 1:1 supervision of the staff although not all staff had received this. The staff team had been divided into three groups and the deputy manager and principal senior care worker were also going to conduct supervision. The night staff spoken with said they had not received supervision for a long time and the supervision meeting chart confirmed this. All staff should receive regular, formal, recorded supervision. (See recommendation 10) There are records in the home to show that regular checks are made of fire safety equipment and emergency lighting. Fire drills are also held, with the names of the staff who took part recorded. Equipment used by the residents, for example, hoists and passenger lift are also serviced and maintained. There are records held in relation to checks on gas and electrical appliances, water temperatures and food temperatures. One resident was having a number of falls at the home and these had been reported to the Commission for Social Care Inspection. The manager had conducted risk assessments and put measures in place to reduce the risk of this resident falling but as these had not been as effective as intended, had obtained a re-assessment of the resident for nursing care. Park Lane Residential Home DS0000040963.V296053.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 X 3 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 3 3 X 3 X 3 X 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 2 X 3 2 X 3 Park Lane Residential Home DS0000040963.V296053.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. 2. 3. Standard OP7 OP30 OP33 Regulation 15 12, 18 24 Timescale for action Staff should record accurately 01/11/06 the specific care given to residents each day. Staff, including night staff, must 01/12/06 receive training specific to the service user group they support The manager must devise a method of obtaining the views of residents, staff, relatives and 01/12/06 professionals on the running of Park Lane. Requirement 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 2 3. Refer to Standard OP3 OP7 OP14 Good Practice Recommendations Staff should record whether a person wishes to continue practising their religion while living at Park Lane. The manager should regularly review the care files and sign that this has been done. Photographs of meals could be provided to help residents make choices about what they would prefer to eat. DS0000040963.V296053.R01.S.doc Version 5.2 Page 24 Park Lane Residential Home 4. 5. 6 7 8 9 10 OP15 OP16 OP18 OP22 OP24 OP30 OP36 The manager should ensure the residents dine in a comfortable, spacious environment. The manager should devise a method of recording complaints so that they can be tracked through to completion. All staff, including night staff, domestic, housekeeping and maintenance staff, should receive adult abuse awareness training. Methods should be found to ensure any signs/ photographs/symbols used around the home cannot be removed by the residents. The manager should explore methods of ensuring that residents clothing is returned to their room after washing and any repairs are made before it is returned. The manager and registered provider should consider methods of ensuring night staff receive equal opportunities to training as the day staff. Staff, including night staff, should receive formal 1:1 supervision at least 6 times a year. Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Park Lane Residential Home DS0000040963.V296053.R01.S.doc Version 5.2 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!