Inspection on 09/02/06 for Partridge House Nursing And Residential Care Home

This inspection was carried out on 9th February 2006.

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

Partridge House Nursing And... 01/05/07

Partridge House Nursing And... 26/05/06

Partridge House Nursing And... 03/11/05

Partridge House Nursing And... 02/08/05

Partridge House Nursing And... 11/04/05

Partridge House Nursing And... 11/01/05

Partridge House Nursing And... 24/08/04

Partridge House Nursing And... 04/06/04

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

CARE HOMES FOR OLDER PEOPLE Partridge House Nursing And Residential Care Home Leybourne Road Off Heath Hill Avenue Bevendean Brighton East Sussex BN2 4LS Lead Inspector Elizabeth Dudley Unannounced Inspection 9th February 2006 10:30 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 Partridge House Nursing And Residential Care Home DS0000014021.V282015.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. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Partridge House Nursing And Residential Care Home Leybourne Road Off Heath Hill Avenue Bevendean Brighton East Sussex BN2 4LS 01273-674499 01273-693332 Address 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) Anchor Trust Vacant Care Home 38 Category(ies) of Dementia (38), Mental disorder, excluding registration, with number learning disability or dementia (38) of places Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is thirtyeight(38) Service users should be aged sixty (60) years or over on admission Date of last inspection 3rd November 2005 Brief Description of the Service: Partridge House is a purpose built home that was developed in partnership between Anchor Trust, ARDIS and Brighton and Hove Social Services to provide care for 24 older service users with mental health problems. Fourteen new rooms were added bringing the number of service users able to be accommodated to 38. This now provides 30 nursing beds, 6 for residential care and 2 for respite care. A conservatory has been added to the building. All of the accommodation provided is in single rooms, which have en-suite facilities, and the home is divided into four units. The gardens are well maintained and accessible to all service users, a shaft lift gives access to all parts of the building. Anchor Trust is a not for profit organisation and ARDIS is a local charity providing services for people with dementia. Partridge House is situated in a residential area, local transport links are poor, but there are good car parking facilities. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, which was undertaken to monitor compliance with requirements, took place on the 9th February 2006 over a period of 7 hours. The inspection was facilitated by Mr J Proctor deputy manager and Ms L Knowleden, administrator. During the visit 6 residents and nine members of staff were spoken with, no visitors were present in the home on this day. A tour of the home was undertaken and documentation, which included care-plans, medicine charts, personnel files, and health and safety documentation were examined. What the service does well: What has improved since the last inspection? The general maintenance of the home shows ongoing improvement, and objects in the garden, which could have been hazardous to residents and which were identified at the last inspection, have been removed. More registered nurses have been employed and there is now a deputy manager in place. Arrangements for dealing with resident’s monies have been improved and all residents’ money, apart from personal allowances, is now kept in bank account which holds the money under individual names. A new statement of terms and conditions has been put in place and this clearly states what portion of the fees is payable by residents. All personnel files now include all the documentation required by regulations to ensure the safety of the residents. The electrical wiring certificate is now in place. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 6 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. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 7 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 Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 8 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): 1,2,3,4,5 The home provides sufficient documentation to ensure that prospective or existing residents are informed about the home. Amended statements of terms and conditions have been provided to inform residents and their families which part of the fees, if any, they are liable to pay. EVIDENCE: The statement of purpose meets the requirements and has been reviewed in the light of recent management changes within the home; this also applies to the service users guide. However once the deputy manager has completed his trial period, these will need reviewing to include him. All prospective residents are assessed by the manager or deputy prior to their admission to the home. The majority of permanent staff have received training in the needs of the service users admitted within the homes category and registered mental health nurses are employed. Registered general nurses are also being employed to address the physical health care of the residents. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 9 A new assessment form has now been put in place and one preadmission assessment seen addressed all the needs of the prospective resident and included all relevant social details. The statement of terms and conditions has now been amended to include the breakdown of fees and this updated version must be given to residents and their families. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 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): 7,8,9,10, Some improvement made to the standard of the care planning needs to be continued throughout the home in order to ensure that residents care needs are met. The recording and administration of medication requires improvement to maintain residents safety. EVIDENCE: The standard of care planning amongst the selection of eleven that were examined, was variable. The majority of care planning needs to identify the care to be given in greater depth and this was discussed with the deputy manager. Two registered nurses have recently become involved in addressing the care plans and those, which had been attended to, showed an improvement and met the standard. The staff stated that they would be involved in all the care plans across the house. Some care plans require reviewing and also to include evidence of the involvement of the residents or their relatives. Risk assessments and consent for the use of bedrails and lap straps were in place. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 11 There is evidence of the involvement of other health care professionals including the wound care nurse and GP’s. The Older persons nurse specialist visits the home and has assisted with ongoing staff training in some clinical matters. One resident was seen to be wandering around the home with bare feet, it was stated that her slippers were hurting her and there were no spare socks or slippers to put on her. The attention of the deputy manager was drawn to this. This resident was obviously very unhappy and a member of staff was asked about this. The member of staff stated that they did not know what medication the person was on, or what was wrong with her. Whereas it would not be expected that a care assistant would know the exact medication a resident was receiving, it is expected that they have some knowledge of the care and medication required and the reasons for a resident’s distress. It was seen that staff were working in the kitchenette in one of the units whilst a resident nearby was calling out for help, and not being attended to. There have been several issues around the administration of medication over the past inspections and the CSCI pharmacy inspector was asked to visit. She was present during the last inspection and made some requirements, which have been complied with, however there were further issues found at this inspection. The majority of the medications were signed following administration but this must be followed for all medications. The home’s policy states that controlled drugs must be checked on a daily basis and this had not been done since December 2005. One controlled drug had only one signature in the controlled drug register following administration. The times that one resident’s Diazepam required to be administered was unclear with alterations made to the original times. One resident who had a PEG feeding tube in place was receiving medication in the form of tablets being crushed and put down the tube, this included enteric coated tablets. The deputy manager was advised to contact the community pharmacist to identify which drugs could be prescribed in liquid form. One of the registered general nurses, recently employed at the home, stated that she had noticed this and was trying to address this. In view of the repeated requirements made over several inspections around medication, Anchor Trust must access some additional training for staff. Residents stated that they felt that their privacy was maintained, however some rooms did not have call bell leads available which would make it difficult for them to call for attention should they require it. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 12 There was good interaction between staff and residents and residents stated that “ most of the staff are kind”. They felt that they were well cared for and that their needs were met “ most of the time”. Partridge House Nursing And Residential Care Home DS0000014021.V282015.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 Activities should take place on a regular basis to enhance the quality of life for residents. Whilst it is beneficial that residents are encouraged to walk freely in the garden, staff must ensure that they have the appropriate clothing and those that have mobility problems are able to contact staff when they wish to be moved. The standard of catering has improved but staff must ensure that all residents are assisted with eating as required and that the pureed food is served up in a manner that will encourage residents to eat in order to maintain resident’s nutritional status. EVIDENCE: Although previous inspections identified that two care assistants were being trained to provide activities, staff stated that the activities over the past month had been professional entertainers and this had occurred on two occasions. The social files relevant to five residents were examined and showed that these were the only activities provided. The deputy manager stated that interviews for an activities co-ordinator were taking place. The provision of suitable activities has been made a requirement on previous inspections and assurances had been given that these were now in place, however there is no evidence to indicate that this has been on going. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 14 Residents can make choices regarding their activities of daily living and staff stated that they had choices regarding their times of rising and retiring. Some residents spoken with agreed with this. During the course of the day two residents were seen in the garden. One resident was sitting in the wheelchair and had chosen to sit in the garden. However staff did not appear that she wished to come back in due to her getting cold, and their attention had to be drawn to this. Another resident was seen in the garden wearing only a cardigan over her dress, and this was brought to the attention of the deputy manager. There is an opening visiting policy, no visitors were seen on this day, but previous inspections have shown that visitors are made welcome and that ministers of religion visit the home. New menus have recently been drawn up following consultation with the staff and a resident. The resident concerned stated that she felt that food was improving but that she would prefer more vegetables. She also stated that they rarely had fresh tomatoes and that dessert was ice cream roll three or four times a week. A supply of ice cream roll was seen in the freezer. Supplies of green vegetables seen were broccoli and cabbage, but some fresh tomatoes were in the fridge, the cook stating that she is steaming more vegetables and trying different sorts of vegetables, but evidence of this was not seen. Fresh fruit is delivered three times a week Lunch served on this day was beef burgers or a sausage roll, sauté and mashed potatoes and grilled tomatoes, with peas, carrots and baked beans. There was semolina pudding for dessert. A cooked breakfast is always available and the supper menu offered choices. Although food is pureed separately for those residents who require a soft diet when it comes from the kitchen, one resident was seen asleep with a cold bowl of pureed food, the ingredients having been mashed together and looking unappetising. A member of staff stated that this resident preferred to feed herself. The food was cold and thrown away and nothing further offered to the resident. Care staff require training on the importance of presentation of food and nutrition. Records relating to the recording of temperatures of the fridges, freezers and cooked food were in place, and all catering staff have their food hygiene training. Partridge House Nursing And Residential Care Home DS0000014021.V282015.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): 16,18 Complaints have been addressed in a competent and thorough manner, therefore giving residents and their families’ confidence that their complaints will be addressed. Senior staff must attend adult protection training in order to ensure their knowledge of this is up to date to protect residents. EVIDENCE: There is a complaints policy which meets the standard and complaints received have been dealt with in a transparent and open manner. Two complaints have been received since the last inspection; both were unsubstantiated, the provider having investigated one of these and the CSCI having addressed the second one. Both complaints were unsubstantiated. During the last inspection an adult protection issue was being investigated, this was not proven. Requirements have been made over past inspections that all senior staff must attend adult protection training. Evidence has been seen in the past that former senior staff attended this, but there was no evidence available to show whether present senior staff have undertaken this. This was a previous immediate requirement. Other staff spoken with were aware of their responsibilities towards the residents in their care. Partridge House Nursing And Residential Care Home DS0000014021.V282015.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, 26. The home is well maintained and clean thus providing a pleasant environment for residents. EVIDENCE: Over the past few inspections a great improvement in the general maintenance of the home has been noted and this has been continued, with plans for replacing carpets which have become worn, in place. Items in the garden, which could have been hazardous for residents, have been removed and the garden is well maintained. Some bedrooms require call bell leads and the deputy manager states that this has been noted and is in the process of being addressed. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 17 Most parts of the home were clean and there were no offensive odours, some surface cleaning in both the kitchen and the clinic room requires to be undertaken, and this was discussed with the cook and the deputy manager. There was evidence that one bath hoist seat needed cleaning underneath the seat and there was powder remaining on the top of the seat. Partridge House Nursing And Residential Care Home DS0000014021.V282015.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, 29 The home must continue in its efforts to recruit permanent staff, which will allow staff to become familiar with the policies of the home and the needs of the residents. All personnel files examined included the documentation required to ensure the safety and well being of residents. EVIDENCE: The home has had some problems recruiting suitable staff and is still covering above average number of hours with agency staff, although generally these are agency staff regular to the home. However the shift patterns have now been changed with a view to making the hours of working more suitable for staff getting to and from work and it is hoped that this will aid recruitment. Permanent staff spoken with said that they felt that their work load was increased by having staff who were not regular and employed by the home. Staff said that at times there may only be two members of permanent staff on the care side. The catering staff also stated that the home is trying to recruit kitchen assistants and that it would be easier to delegate jobs to permanent staff. Efforts to recruit permanent staff must be continued. Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 19 Because of the category of its residents, Registered mental health nurses should form the bulk of the trained nurse staff, although it has been recommended in the past that the clinical needs of this category of resident also require some input from general nurses. The home is addressing this but at present is finding difficulty in obtaining registered mental nurses. However in order to maintain the specialised nursing required by the residents efforts to keep an even balance must be maintained. Duty rotas evidenced that there were sufficient staff on duty to meet the needs of the residents, however the bulk of these were agency staff and the deputy manager, who was in charge of the home, had only just commenced in post. It seemed apparent on questioning staff, that some of them were not very knowledgeable about the needs of some residents, and most were not aware of the policies in the home, i.e. the closed door policy. The personnel files belonging to three recently employed staff were examined, and these were found to contain all the documentation required by the regulations. Partridge House Nursing And Residential Care Home DS0000014021.V282015.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): 35,36,37, 38 The home has introduced new procedures relating to the handling of residents money, which will give residents and their representatives added security. Some improvements around the provision of resident’s safety in the event of fire are needed. EVIDENCE: Anchor Trust has recently commenced a new system of recording resident’s personal allowances and is now putting residents money into a bank account under individual names. There was no evidence of recent or regular staff supervision, but provider regulation 26 reports have been regularly received by CSCI. The latest one, Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 21 (Received 20th February 2006) refers to recruitment issues and the high number of vacancies to be filled and also referred to the recording of medication, and the need to address care plans and risk assessments. The record keeping relating to care plans requires attention and this was referred to in standard 7. It was seen that care plans are being kept in an unlocked cupboard in the lounges, ways of ensuring confidentiality of these records must be put in place. Some staff spoken with were unaware of how to access the home’s policies and procedures, and two registered nurses were unaware of where the medication policies were kept. There was no evidence of the fire alarms or emergency lighting having received weekly testing. One resident was in a room with the door wedged open, two members of staff were unaware of the home’s policy for ensuring that the doors to resident’s accommodation were kept shut, and the deputy manager, in post for a few days only, was not aware of where this policy was sited and unaware of how the policy ensured her safety in the event of fire. In view of the request for a formation of a policy to protect residents having been made a requirement on previous inspections, a visit from the fire officer was requested. He reiterated this requirement and has made a few other requirements relating to fire safety. There was evidence in some staff files of staff having attended mandatory training and staff stated that this had been undertaken. Partridge House Nursing And Residential Care Home DS0000014021.V282015.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 3 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X 2 2 STAFFING Standard No Score 27 2 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 2 2 2 Partridge House Nursing And Residential Care Home DS0000014021.V282015.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 2 Standard OP2 OP3 Regulation Reg 5 (1) ( c) Reg 14 (a) Requirement That all service users receive a copy of the amended terms and conditions. That no service user is admitted to the home unless their needs can be fully met, and where required additional training is given to enable staff to meet these needs. (This was a previous requirement and is ongoing) That all parts of the care plan are reviewed on a regular basis. (This was a previous requirement Sept 1st 2005 and 3rd November 2005) Timescale for action 10/04/06 01/05/06 3 OP7 Reg 15 (2)(b) 01/04/06 4 OP8 Reg 15(2) Reg 13(b) That the reviewed assessed 01/04/06 needs of the service user are written in the main body of the care plans and that these reflect the current and changing needs of the service user, that reviews of care plans assess whether the care plan identifies needs that are current and still viable, and reflect appreciation of changes of needs which may occur due to DS0000014021.V282015.R01.S.doc Version 5.1 Page 24 Partridge House Nursing And Residential Care Home the sudden change in a service users’ condition. (This was a previous requirement 3rd November 2005 and has been partially complied with) 5 OP9 Reg 13(2) Policies and procedures around medicine management to be reviewed to reflect current practice. (this was a previous requirement to be complied with by 01/12/05) The records on MAR charts to reflect accountability, accuracy and legibility. That the controlled drug records are signed and counter signed appropriately. That regular and suitable activities are provided for service users. (This has been a requirement on previous inspections). That service users receive appropriate assistance with eating and that staff ensure that food offered is at an acceptable temperature. That senior staff within the home, consolidate their knowledge of adult protection reporting and cascade this to all levels of staff (this was a previous requirement 3rd November 2005) That staff check the cleanliness of bath hoist chairs following service user use. That the clinic room and kitchen receive the surface cleaning identified. Anchor trust to ensure that at all times suitably qualified, DS0000014021.V282015.R01.S.doc 01/04/06 6 OP9 Reg 13(2) 01/03/06 7 8 OP9 OP12 Reg 13(2) Reg 16(m) (n) 09/02/06 01/04/06 9 OP15 Reg 16(2)(i) 09/02/06 10 OP18 Reg 13(6) 01/05/06 11 OP26 Reg 13(3) 09/02/06 12 OP27 Reg 18(1)(a) 01/05/06 Page 25 Partridge House Nursing And Residential Care Home Version 5.1 competent and experienced persons are working at the home and ensure that temporary workers will be able to meet service users needs. (This was a previous requirement, 3rd November 2006 and is ongoing) 13 OP27 Reg 18(1)(a) Recruitment to continue and reasons for non-retention of staff examined. (This was a previous requirement, 3rd November 2005 and is ongoing) Records to be kept in a secure environment. That all requirements made by the fire officer are complied within the given time scale Call bell leads to be affixed in all rooms unless inappropriate. 03/11/05 14 14 15 OP37 OP38 OP38 Reg 17(i) Reg 23(4)(a) Reg 13(4) 10/03/06 12/03/06 09/02/06 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 OP15 Good Practice Recommendations That moulds for pureed food are provided to keep the components separate, to prevent the pureed food being mashed together and to allow service users to identify what they are eating. ( This was a previous recommendation) That staff taking around the daily menus sign the menu on completion in order to confirm that they have seen all residents.( This was a previous recommendation) 2. OP15 Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Partridge House Nursing And Residential Care Home DS0000014021.V282015.R01.S.doc Version 5.1 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. 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