CARE HOMES FOR OLDER PEOPLE
Penmeneth House 16 Penpol Avenue Hayle Cornwall TR27 4NQ Lead Inspector
Diana Martin Announced 19 May 2005 09:30 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 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. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Penmeneth House Address 16 Penpol AVenue Hayle Cornwall TR27 4NQ 01736 752359 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Philip John Richards Mrs Felicity Ann Richards Care Home 14 Category(ies) of Dementia - over 65 years of age (1), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (14) Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 07/10/04 Brief Description of the Service: Penmeneth Care Home is situated in the town of Hayle in West Cornwall. The property is a Grade two, listed building that has been adapted to accommodate 14 service users. There is a small garden to the front of the home and a courtyard at the back with bench seating. There is roadside car parking; which is limited. The home offers residential care for up to fourteen elderly people, one of whom may have dementia and one a mental disorder. Accommodation is provided on two floors, the first floor can be accessed by a stair lift. There are two smoke free lounges and a smaller seated area for the few smokers in the home. There is also a sun lounge that forms an extension to the dining room. Meals are cooked in a well-equipped kitchen and served in the dining room. The home is very clean, tidy, well furbished and maintained. The homeowners live nearby and are in control of the day-to-day running of the home. Care staff provide personal care within a happy, friendly, relaxed atmosphere. There are opportunities for socialising and visitors are openly encouraged. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspector visited Penmeneth on the 19 May 2005 and spent the day at the home. This was an announced visit. On the day of inspection 14 service users were resident in the home, one was receiving respite care. The inspector met with 8 service users, spoke to 2 relatives on the telephone, a number of staff and the Registered Providers to gain their views on the service that Penmeneth provides. Two comment cards in respect of the service were received, both gave positive feedback. In addition the inspector examined records, policies and procedures and toured the building. This report summarises the findings of this inspection. What the service does well:
The home is suitable for its purpose, it is safe and well maintained. It is very well furbished, homely and clean. Systems are in place for infection control. Service users bedrooms are suitable for their needs and they are happy with their surroundings. All service users have their own possessions around them and some have items of their own furniture. There are call bells in every room and ramps and grab rails have been fitted. Service users have the necessary equipment to aid their mobility. The home encourages prospective service users and their family to visit the home and meet the staff and service users living there. A trial period is incorporated into the contract. Family and friends can visit the home at any time and records are maintained. Service users privacy and dignity are respected, service users said the staff care for them well and are very kind. Staff and relatives said that service users are cared for extremely well at the time of their death, they are kept comfortable and as far as possible free from pain. Relatives said they too are well catered for when visiting a dying relative. The home has very few complaints, only one in the last year, no complaints have been reported to the Commission.. There is a stable workforce in the home; many have worked there for some years. Statutory training takes place regularly and external courses are being undertaken to improve knowledge and skills. Staffing levels are suitable for the
Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 6 current service users living in the home. Service users were very appreciative of the staff and felt there were enough on duty at all times. What has improved since the last inspection? What they could do better:
The statement of purpose must be updated to include all of the required information, a copy must then be sent to the Commission for Social Care Inspection. Care plans must be more detailed to include all of the individual’s health, personal and social care needs, expected outcomes and how individual needs will be met. The care plans should be agreed and signed by the service user or their representative. It is recommended that a written life history of each service user be on file. Relevant risk assessments must be on file for each service user. The Registered Provider should liase with other health professionals or seek training in respect of writing care plans that guide and direct her staff. Any handwriting of medicines onto the MAR charts must be witnessed and dated with two signatures recorded. The home’s policy for dealing with dying and death must be reviewed to take into account individual wishes, cultural and religious beliefs. Service users feel the need for more activities in the home. Several said they just sit all day and with the television or music playing, both selected by the staff. The Registered Providers must gather information as to what activities service users would like and then compile a programme of suitable activities and entertainment. Complaints must be dealt with in 28 days in accordance with legislation and the home’s policy and there must be a method for recording complaints and the action taken. The Registered Providers must obtain a copy of the ‘No Secrets’ document and update their Adult Protection policy. The whistleblowing policy must allow for reporting to outside agencies including the CSCI and give the contact details. The home should have an equal opportunities policy. There should be a sluice with a washer disinfector in the home for cleaning the commode pots and bedpans. A more robust recruitment system must be put in place with all of the required documentation kept on file.
Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 7 Dementia awareness training for staff would be beneficial as several service users now have a dementia. There should be a policy in place for the safekeeping of service users money. It is recommended that the service user or their representative sign an agreement allowing the home to deal with their money. Risk assessments should be undertaken for the use of cot-sides or any other form of restraint used in the home. Cot-sides or any form of restraint should only be used following consultation with the service users family, District Nurse, Social Worker and General Practitioner. Written consent should be obtained prior to use of the restraint. 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. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 standard(s) 1 and 3 Prospective service users are given information about the home, however this does not include all of the details required by legislation. Service users are only admitted to the home following an assessment of their needs that ensures the home can provide adequate care. EVIDENCE: Efforts have been made to fulfil the requirements regarding the home’s statement of purpose. The document must be further updated to include all of the information listed in Schedule 1. A copy must then be sent to the CSCI. The Registered Provider said she visits prospective service users whenever possible to assess their needs prior to admission. She also obtains information from Social Services and hospital staff. The assessment form is appropriate and those inspected were complete. Waterlow scoring, BMI, moving and handling assessment and pressure area information is also recorded during the initial assessment. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 10 Prospective service users and their relatives are welcome to visit the home and stay for a meal. The first month of their stay is a trial period. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 standard(s) 7, 9, 10 and 11 Individual care plans are generated for each service user, however they do not fully inform and direct the staff in their care provision. There is a suitable system in place for dealing with service users medicines and assure service users safety. Service users are treated with respect and their privacy is upheld. Service users are treated with care, sensitivity and respect at the time of their death, however the home’s policy does not take into account individual wishes, cultural and religious beliefs. EVIDENCE: Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 12 All service users had a care plan that was reviewed every 3 – 6 months. The care plans must be more detailed to include all of the individual’s health, personal and social care needs, expected outcomes and how individual needs will be met. There should be more information included regarding the activities of daily living, social and emotional needs. The care plans should be agreed and signed by the service user or their representative. If this is not possible the reason must be documented. It is recommended that a written life history of each service user be on file. Daily records and night records were maintained for each service user, the amount of information recorded was variable. The full name of each service user should be recorded on each document relating to them. There were some risk assessments for moving and handling undertaken. Risk assessments in respect of falls were evident for some service users. Other relevant health risk assessments should be recorded , for example Barthel scoring,nutrition and continence. The Registered Provider should liase with other health professionals or seek training in respect of writing care plans that guide and direct her staff. There was a medicines policy in place which staff said was used in conjunction with the ‘The Royal Pharmaceutical guidelines for the administration of medicines in care homes’. A monitored dosage system (MDS) for medication administration was used in the home. Appropriate records were maintained. All but two staff have undergone the safe handling of medication training. Any transcribing of medicines onto the MAR charts must be witnessed and dated with two signatures recorded. Service users privacy and dignity were observed to be respected during the inspection. Service users said this was always the case. Telephone arrangements allow for privacy and screens are provided in the shared bedroom. The home’s policy for dealing with dying and death must be reviewed to take into account individual wishes, cultural and religious beliefs. It must be a document that ensures that no religious discrimination or preconceived judgements are made. Staff and relatives said that service users are cared for extremely well at the time of their death, they are kept comfortable and as far as possible free from pain. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 standard(s) 12 and 13 Some social activities take place but it is not apparent that these are suited to individual preferences. Service users maintain contact with family and friends and can go out according to their wishes and ability. EVIDENCE: Service users said they had the opportunity to exercise some choice in relation to their care and routines of daily living. Mealtimes are at set times and although there are choices on the menu service users said they did not know what was for lunch until it was served. The Registered Providers and staff said they try to provide activities but service users are reluctant to join in. They said there are audio and videotapes and Mrs Richards often takes a service user with her when she goes shopping. Music was playing in the sun lounge and the television was on in the front lounge during the inspection; only one service user was aware of the programme but was not watching it. Service users said they would appreciate more activities and would like to go out on trips. Service users social interests must be gained and actively pursued. Participation in activities must be recorded. It is recommended that the Registered Providers undertake a survey of service users individual preferences and subsequently implement a programme of suitable activities. Visitors were welcome in the home and records were kept. Suitable telephone arrangements were in place.
Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 14 Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 There is complaints information available to service users and their representatives but no method for recording complaints or evidence that complaints are acted upon. There has been little progress on producing a vulnerable adults procedure that ensures a proper response to any suspicion or allegation of abuse EVIDENCE: There is a complaints procedure, which must be reviewed and updated. The staffing section would be more appropriately placed in a disciplinary policy. There had been one complaint to the home in March 2005, which has not yet been dealt with despite the home’s policy stating that complaints are dealt with in 28 days. There needs to be a system for the recording of complaints, the action taken and the outcome. The home has an adult protection policy that must be reviewed and updated in line with the “No Secrets” document. The Registered Provider needs to obtain a copy of this document. The whistle-blowing policy must allow for reporting to outside agencies including the CSCI and give the contact details. The home should have an equal opportunities policy. The Registered Provider said that Adult Protection training for staff is in hand. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 22, 23, 24 and 26 The home and grounds are well maintained providing a safe environment for service users, staff and visitors. The decoration and furnishings are to a good standard creating a comfortable home for service users. Service users have the equipment they require to maximise their independence and they have their own possessions around them so their rooms are individualised to their own taste. The home is clean and systems are in place for infection control. EVIDENCE: There are two comfortable smoke free lounges and a smoke free sun lounge, which is an extension to the dining room. A smaller area is set-aside for the few service users and staff who wish to smoke. Grab rails and ramps have been fitted where appropriate and service users have the equipment they need to aid their mobility. There is a stair lift to access the first floor and the home has one hoist for moving and handling purposes. Each room has a call bell. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 17 There are 12 single rooms and 1 double, 5 of the single rooms and the double have en suite facilities. There have been no changes to the building since the last inspection. Service users rooms are suitable for their needs. They can bring their own furniture and belongings into the home if they wish. The Registered Providers should undertake individual risk assessments for service users in respect of the provision of a key to their room. This should be documented in the individual’s file. The home was clean throughout and every effort was made to eliminate odours. The laundry facilities were suitable with one washer and one drier. Data sheets for COSHH purposes were available to staff. There were suitable hand-washing facilities for staff with liquid soap and paper towels in dispensers; alcohol gel hand rub was also provided. Plastic aprons and gloves were in use. It is recommended that there be a sluice with a washer disinfector in the home. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Staffing levels meet the needs of service users and staff morale is good. Care staff are experienced in their role and some training is undertaken; not all care staff have NVQ qualifications. The recruitment procedure is not robust and does not offer protection to the service users living in the home. EVIDENCE: The Registered Providers said the home employs a skill mix of staff suited to the service users needs. The Registered Providers are also on site nearly every day. There is a set rota, which does not reflect the daily situation in the home; there is a separate sheet on top of the rota that indicates staff on holiday or sick leave. There are two care staff on duty at all times, at night one is waking and one sleeping. The care staff are responsible for the cooking and washing as well as care duties. A domestic is employed to do the cleaning. Four of the thirteen care staff have achieved NVQ 2 or 3 in care, others are undertaking courses. 50 of care staff should be rained to NVQ level 2 or equivalent by December 2005. The personnel files inspected were incomplete. Two satisfactory references must be obtained prior to commencement of employment. Evidence must be obtained to show that prospective employees are physically and mentally fit for the work they are to perform. Terms and conditions of employment are issued to staff and the Registered Providers said that staff are given a job description. The Registered Providers must develop and implement a thorough recruitment policy.
Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 19 There was no training and development programme but staff were undertaking distance-learning courses with Penwith College. Courses include, food hygiene, safe handling of medicines and infection control. It is recommended that staff are provided with dementia awareness training. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 38 The home is run in the best interest of the service users although there is little Quality Assurance monitoring taking place. Service users money is managed well but further safeguards need to be implemented. The health, safety and welfare of service users and staff are promoted but systems need to be implemented for further protection of service users. EVIDENCE: The home does not hold service user meetings but the Registered Provider said they could air their views when they like. There are no internal quality audits undertaken apart from a questionnaire for relatives completed annually. There is also a form that could be used for District Nurses and General Practitioners. A copy of any survey results must be sent to the Commission for Social Care Inspection. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 21 The home holds “pocket money” for two service users. The Registered Provider is appointee for another service user. Written transactions are maintained and receipts are kept for shopping and sundries such as hairdressing and newspapers. In some instances the home pays for items and the service user or representative is provided with a bill. Money is stored securely in the home. There must be a policy in place for the safekeeping of service users money. It is recommended that the service user or their representative sign an agreement allowing the home to deal with their money. The Registered Providers try to ensure that working practices are safe. The fire risk assessment has been completed with the help of Fire Watch. Regular training takes place in respect of Moving and Handling and Fire Safety. Infection Control, food hygiene and first aid training have been done. Heating and electrical systems within the home are serviced and maintained. Hazardous substances are stored appropriately and safety data sheets are available and accessible to staff. Accidents and incidents are recorded and reported as required. Risk assessments should be undertaken for the use of cot-sides or any other form of restraint used in the home. Cot-sides should only be used following consultation with the service users family, District Nurse and General Practitioner. Written consent should be obtained prior to the use of cot-sides or other restraint. Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 x
COMPLAINTS AND PROTECTION 3 3 x 3 3 2 x 2 STAFFING Standard No Score 27 3 28 2 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 x x 2 x 2 x x 2 Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 23 yes Are there any outstanding requirements from the last inspection? 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 1 Regulation 4 (1) (c) (2) Requirement The statement of purpose must be updated to include all of the information listed in Schedule 1. A copy must then be sent to the CSCI Care plans must be more detailed to include all of the individual’s health, personal and social care needs, expected outcomes and how needs will be met(Timescale of 17/01/05 not met) A specific risk assessment must be undertaken for all service users at risk of falling. Transcribing of medicines onto the MAR charts must be witnessed and dated with two signatures recorded(Timescale of 17/10/04 not met) The complaints procedure must be reviewed and updated The adult protection policy must be reviewed and updated in line with the “No Secrets” document The whistle-blowing policy must allow for reporting to outside agencies including the CSCI and give the contact details Two satisfactory references must be obtained prior to Timescale for action 22/08/05 2. 7 15, 12 (1) (a,b) 22/08/05 3. 4. 7 9 13 (b,c) 13(2)17(1 )(a) Sch 3 22/08/05 19/05/05 5. 6. 7. 16 18 18 22(1) (2) 13(6) 21 22/08/05 22/08/05 22/08/05 8. 29 Sch 2 (5)19 (1) 19/05/05
Page 24 Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 (c) (4) (b) (c) (5) (c) 9. 10. 29 33 12(1) (a)13 (6) 24 (2) 11. 12 16(2)(m)( n) 17(2), Sch 4 (13) 12. 15 13. 14. 16 16 17(2) Sch 4 (11) 22(4) commencement of employment. Evidence must be obtained to show that prospective employees are physically and mentally fit for the work they are to perform The Registered Providers must develop and implement a thorough recruitment policy A copy of any quality survey results must be sent to the Commission for Social Care Inspection. Service users social interests must be gained and actively pursued. Participation in activities must be recorded. There must be a record of the food provided in sufficient detail to determine that the diet is satisfactory in relation to nutrition and otherwise, and of any special diets prepared for individuals There must be a record kept of all complaints and the action taken Complaints must be dealt with within 28 days 26/09/05 22/08/05 22/08/05 01/08/05 01/08/05 01/08/05 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. 4. 5. Refer to Standard 7 7 4 7 7 Good Practice Recommendations The care plans should be agreed and signed by the service user / representative whenever possible The full name of each service user should be recorded on each document relating to them. Staff should receive training in relation to the changing needs of the service users. A written life history of each service user should be on file Relevant risk assessments should be undertaken for each service user
D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 25 Penmeneth House 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 11 7 12 35 18 24 26 28 30 35 38 17. 18. 19. 20. 29 15 36 29 The policy for dying and death should be a more formal document and expanded to consider religious needs The Registered Provider should liase with other health professionals or seek training in respect of writing care plans that guide and direct her staff The Registered Providers should undertake a survey of service users individual preferences and subsequently implement a programme of suitable activities. There should be a policy in place for the safekeeping of service users money The home should have an equal opportunities policy The Registered Providers should undertake individual risk assessments for service users in respect of the provision of a key to their room There should be a sluice with a washer disinfector in the home. 50 of care staff should be rained to NVQ level 2 or equivalent by December 2005 Staff should be provided with dementia awareness training. The service user or their representative should sign an agreement allowing the home to deal with their money Risk assessments should be undertaken for the use of cotsides or any other form of restraint used in the home and consultation should be sought and written consent should be obtained A record of employment interviews should be maintained At least one member of staff responsible for cooking food should undertake the intermediate level food hygiene certificate Discussion at staff meetings should be recorded A job application form should be completed by all prospective employees Penmeneth House D52-D04 S9128 Penmeneth V214624 190505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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