Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Penn House Residential Care Home 169 Penn Road Wolverhampton WV3 0EQ The quality rating for this care home is:
one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sue Woods
Date: 1 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home
Name of care home: Address: Penn House Residential Care Home 169 Penn Road Wolverhampton WV3 0EQ 01902345470 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Shanta Arjan Odedra,Mr Arjan Bhoja Odedra,Mr Vijay Odedra,Daljit Takhar,Jasvinder Takhar care home 24 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 24. The registered person may provide personal care (excluding nursing) and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Older People (OP) 24 Dementia (DE) 24 Date of last inspection Brief description of the care home Penn House care home provides personal care and accommodation for 24 older people with Dementia. The home is an early Victorian two - storey building that has been adapted internally and suitably extended to meet the needs of older people. There is Care Homes for Older People
Page 4 of 27 Over 65 0 24 24 0 Brief description of the care home easy access to local amenities, which includes a park, churches, temples, a library and shops. The home is located approximately 1 mile from the city centre. The accommodation consists of two lounges and one of these is a large L shaped lounge, and a dining room. There is one double bedroom and 22 single bedrooms and seven of these have en-suite facilities. All the bedrooms are fitted with a staff alarm system, fire alarm system, secondary lighting and television aerial points. There are adequate communal bathrooms/showers and WCs on each floor. The home has a vertical lift, in addition to two staircases. There is adequate car parking space at the front of the premises and the garden is at the rear of the premises, which is accessible for people who use the service. Mr Vijay Odedra and Jasvinder Takhar have been operating this service since March 2006 (on behalf of Odedra & Takhar Partnerships Stonebank Investments). The present Care Manager Ms Elizabeth Quinn and she has been in post since May 2008. She has recently started the process of becoming registered as the maanger with CSCI. Penn House makes its services known to prospective service users in the Statement of Purpose and the Service User Guide. The inspection Report is mentioned in the statement of purpose and a copy can be obtained from the home upon request. People living at Penn House are consulted about how well they feel the home is performing and where people are unable to say the home involves family members and advocates. Current fees are 349 pound to 400 pound per week. Care Homes for Older People Page 5 of 27 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means that people who use this service experience adequate quality outcomes. The unannounced key inspection of Penn House took place on 16th February 2009. The inspection started at 09.40 am and lasted seven hours. The inspection reviewed twenty one of the key standards (on this occasion we did not look at outcomes in relation to service users money) for care homes for older people and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating based on each outcome area for service users has been identified. These ratings are described as excellent/good/adequate or poor based on findings of the inspection activity.
Care Homes for Older People Page 6 of 27 As part of the inspection we, the commission, met a small number of people who lived at Penn House and spent time observing practice when it was not possible to speak directly with people. We also spoke with the three staff on duty, the cook and with the manager. We also spoke with one relative who was visiting the home at the time of the inspection. The proprietor spent time showing us around the home and returned to Penn House at the end of the day to receive feedback from the visit. At the start of the inspection we left surveys for people to complete if they wished to make comments towards the inspection. Three were completed and returned from staff and one from a relative. We looked at three care files in detail and extracts were seen from others. Five staff files and other records referred to within the report were also seen. Prior to the visit taking place we looked at all the information that we have received, or asked for, since the last key inspection that took place on 28th January 2008. This included notifications received from the home. These are reports about things that have happened in the home that they have to let us know about by law, and an Annual Quality Assurance Assessment. (AQAA). This is a document that provides information about the home and how they think that it meets the needs of people living there. What the care home does well: What has improved since the last inspection? Since the time of our last inspection care plans have improved. They are now developed around peoples identified individual needs and reflect peoples current and changing health care needs. Information suggests that people are consulted in the development of their care plans and when they are unable to do so the home works with relatives, friends and advocates to ensure people needs and wishes are correctly identified. Staff training opportunities have improved with records showing staff attend all required training and are receiving regular updates to ensure they are confident and competent to do their jobs. For example staff now receive training to enable them to recognise and report signs of abuse and this offers better protection for the people living at the home. Staff say that Teamwork has improved within the home and also feel that the atmosphere has improved. Both of these changes will help to ensure that people living at the home feel more relaxed and comfortable within the home and we found this to be the case when we visited. Repair and maintenance tasks are now carried out promptly and the new arrangement for reporting maintenance tasks means a more reliable response improving the overall quality of the environment within the home. Improvements to the decor at the home have provided people with a more comfortable place to live. Care Homes for Older People
Page 8 of 27 A quality assurance programme and regular monitoring visits by the proprietor ensure that the manager is now being made aware of the challenges and strengths of the home enabling her to take action to make improvements. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may like to live at Penn House, or their representatives, are provided with the majority of information needed to enable them make a decision as to weather the home will be able to meet their needs. Additional information will further assist this decision making process. People who live at Penn House have their basic care needs assessed before they move in. This means that usually the manager can be sure that the home is suitable for people who move in and can meet their identified care and support needs. Evidence: The home provides information to people prior to their admission to tell them about the home and what services it can and cannot provide. The service user guide is very easy to read and informative about the services offered at the home. The Guide was seen on the back of peoples bedroom doors for easy reference. The statement of purpose did not reflect current management arrangements and the manager said that
Care Homes for Older People Page 11 of 27 Evidence: she would update it immediately. Likewise environmental restrictions that may affect someones access to certain parts of the home or restrict people entering and leaving the home should be included in this document as this information may affect the decision as to weather the home is right for the person looking for residential care. People are only admitted after the manager has seen a copy of their assessments of need carried out by health and or social care professionals. Such assessments were seen on all care files seen and are supported by the managers own assessment. The home does not offer intermediate care. Care Homes for Older People Page 12 of 27 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and health care needs of the people who live at Penn House are generally met enabling them to have a good quality of life however the unsafe use of bed rails is putting people at risk of harm. People are generally safeguarded by the homes system for handling, storing and administering medication although written guidelines to support the administration of medication taken as and when required will offer better protection. Evidence: Care plans were seen to be in place for everyone we met as part of the inspection. In conversations staff demonstrated an awareness of peoples care and support needs and these were seen reflected in the care plans. Plans all detailed where people were able to make choices meaning that people can retain as much control of their lives as they are able. People who spoke with us as part of a general discussion at lunchtime and during a tour of the home said that they were happy at Penn House. People who were unable or unwilling to speak with us looked comfortable and relaxed. Staff were seen to support people discreetly and sensitively giving people time to make decisions
Care Homes for Older People Page 13 of 27 Evidence: and were polite and courteous during all interactions seen. The care plans that we reviewed had all been developed after an initial assessment of need from either a health or social care professional and reviews were recorded as being held regularly and when peoples needs change. People have access to see a GP or district nurse as needed meaning that the home is supported to ensure peoples health care needs are fully met and that people can remain at Penn House while receiving essential treatment to keep them well. Staff said that the home does well looking after the residents. The manager has assessed peoples risk of falls and other areas where people had been identified as being vulnerable although on occasions plans to reduce the risks and likelihood of incidents occurring had not been recorded. The manager said that she would address this issue immediately. Medication arrangements at the home are satisfactory overall however despite the home having a system in place to check that people receive the correct medication at the correct time there were still some gaps in the administration records meaning that some prescribed medication may not have been given correctly. Likewise it was not clear when other medication, prescribed for as and when required, should be given and this may mean that the person could be given medication unnecessarily or inappropriately. The medication cabinet was well organised and the staff member administering medication at lunchtime was seen to administer it discreetly, encouraging people where necessary. Care Homes for Older People Page 14 of 27 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Penn House enjoy a relaxed lifestyle and enjoy family visits and contact, however the home is not enabling people to be stimulated mentally or physically or entertained meaning that their expectations, preferences and recreational interests and needs are not being met. People enjoy a varied diet according to their assessed needs and individual choice. Evidence: On the morning of the inspection people living at the home were either relaxing or sleeping. One person was having her hair done by the visiting hairdresser and one person looked to be watching television. In the afternoon one person was doing a jigsaw with a staff member and there was a sing a long taking place. The manager said that people had played magnetic darts in the morning but this was not observed. The home has previously been required to develop activities within the home to stimulate and interest people. Despite the appointment of an activities coordinator observations and records suggest that people are still not being stimulated or entertained on a regular basis. Some people spend time on their own, possibly
Care Homes for Older People Page 15 of 27 Evidence: through choice, and interactions between people in communal areas were minimal. Some staff have received training in dementia care however there was no evidence of any specialist activities being arranged to involve, engage and stimulate people. This means that some people spend their time waiting, or sitting alone with minimal interactions. A visitor told us that she had been happy that her relative had been encouraged to spend less time in her room and sit with other people. The manager said that family support and contact is important and was encouraged. Peoples support networks were clearly noted on their care plans. One person has an advocate who is very proactive in supporting her friend. Another person has a friend who visits to interpret for her as her language barrier sometimes causes problems with her communication. This support means that people can stay in touch with people who are important to them and have support to express their views of the home independently. The manager said that staffing restrictions mean that people cannot be supported to attend activities or events outside of the home although one man has expressed an interest to attend a football match and staff are trying to arrange it. Meals served on the day of the inspection looked appetising and there was a choice available. The menu reflected traditional meals on offer and a hot or cold snack is available for teatime. The cook said that she could cater for special dietary needs although at this time requirements are minimal. The proprietor said that currently people are enjoying a fish and chip night on a regular basis and one persons daughter brings in meals that reflect the persons culture. Care Homes for Older People Page 16 of 27 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Penn House are protected by procedures in place for managing complaints, concerns and allegations of abuse and can be confident that their views and concerns will be listened to. Evidence: Penn House has a complaints policy and procedure that would guide the manager to investigate any complaints made to her about any aspect of the running of the home. Care records identify when people have capacity to make decisions and the home promotes this and works with family and friends of people living at the home to ensure that peoples views are listened to and that peoples wishes are expressed and recorded. The manager is aware of procedures in place to safeguard people from abuse and ensure that any allegation is managed appropriately working with outside agencies to ensure openness and support for the vulnerable person. Staff who spoke with us had all received training to recognise and report abuse and records showed that the majority of staff have now received this training. Care Homes for Older People Page 17 of 27 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment at Penn House is generally satisfactory however further improvements and actions to extend communal areas, reduce the risk of fire and to improve infection control arrangements will make the home a safer place to live. Evidence: At the time of the inspection we found the home to be clean and tidy. Bedrooms seen were spacious and personalised. The proprietor stated that new flooring had been laid in a number of bedrooms and that a new boiler has been fitted. The proprietor and the manager spoke of a plan to continually decorate and upgrade the home and the proprietor said that money was available to achieve this to a high standard. A visitor to the home commented that the standard of decor had improved over the last six months. Communal areas appeared a little cramped. The majority of people at the time of the inspection were in the lounge. One person was sitting comfortably in a chair with her feet raised and this made it difficult for people to walk past without disturbing her. The television was situated in such a position that the majority of people would have to turn sideways to watch it and the dining room did not have seating for everyone living at the home to use at the same time. The manager stated however that it was possible when the tables were rearranged. The proprietor said he had plans to extend
Care Homes for Older People Page 18 of 27 Evidence: the home to make it more spacious and this will benefit people by proving more communal space thus alleviating the problems we identified. There are plans to convert an upstairs bathroom into a walk in shower room and this will offer more choice of bathing facilities for people. The existing upstairs bathrooms were seen to be in need of refurbishment. Fire safety arrangements were reviewed by the local fire service in 2008 and were found to be satisfactory with only one recommendation that the proprietor demonstrated he had met. Fire safety arrangements at the time of the inspection were of concern. One of the homes main entrance and exit routes, labelled as a fire exit had been padlocked in response to a person leaving the building recently unnoticed. Another fire exit had a ramp leading to the garden area that was potentially hazardous given there was a step straight outside the door and the ramp was blocked with equipment used by the home. The upstairs fire exit could only be accessed by people who were fully mobile and the manager said she is writing this into the fire risk assessment that she is currently working on with the support of the local fire service. The fire exit was made safe at the time of the inspection and the manager said she would remove the padlock immediately. The proprietor said that the home was in the process of having the exit alarms fitted. The home takes infection control seriously. Staff have received training in the subject and disposable gloves and aprons were seen sited throughout the home. The only areas of concern we noted were that the laundry floor was not washable (it is concrete) and the home washes commodes in an unused bath. One commode seen had not been properly cleaned suggesting that this arrangement is both inappropriate and ineffective. The manager has requested a sluice facility. The laundry itself was accessed via steep steps that could provide a hazard and the manager said that she would assess the risks involved and take action to minimise or alleviate them. Care Homes for Older People Page 19 of 27 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are not always supported and protected by the homes recruitment policy and practices. Training opportunities for staff are improving and this will mean that staff will be more competent to meet peoples needs in the future and thus improve peoples overall quality of life. Staffing levels within the home may be compromising peoples safety and people are not enabled to live full and active lives. Evidence: Everyone who we spoke with said that enjoyed working at Penn House. They felt they had good support and training opportunities although records did not reflect that staff are yet receiving regular and recorded formal supervision. This was identified as an area where the manager is looking to make improvements. Staff gave examples of ongoing training courses and certificates on files seen reflected that staff are now receiving mandatory training opportunities, including training in relation to recognising and reporting abuse within the home. A number of staff have attended dementia training and the manager reported that this training is ongoing. Training that we recommended that staff attend at the time of our last inspection has still not been accessed but again the manager is looking to find providers of such training. By ensuring that all staff are up to date on required training and by accessing
Care Homes for Older People Page 20 of 27 Evidence: more specialist training the home will be better qualified and competent to deal with the range of support needs of the people living at the home and thus improve the quality of the overall service. Staff files are well organised but did not contain all required information in particular some people only had one reference to show they were suitable for the job they were employed to do. One person who the manager said was still on induction had none of his pre appointment safety checks returned and was actually included on the rota as the fourth member of staff. The manager was unaware that this was an issue but said that he would not be on shift again until his checks had been received. Staffing levels on the day of the inspection were less than the minimum required by the home to ensure safe support and care however this was not generally seen to be the case. Given the lack of activities on offer within the home and the fact that one person was able to leave the house un noticed for a second time in recent weeks the home should now review staffing levels to ensure people are kept safe and also receive a better quality of life. One staff member told us that in the last six months staff levels are more stable but went on to say that more staff on duty would help. A visitor to the home told us that Staff are welcoming and helpful. Observations made at the time of the inspection reflected that staff are polite and courteous, respecting peoples privacy and dignity while carrying out personal care tasks and not rushing people when moving from one room to another. Care Homes for Older People Page 21 of 27 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has an understanding of the areas in which the service needs to improve to ensure better quality outcomes for people living at the home however some systems and practices are making people potentially vulnerable and the manager is now aware of this meaning that the service can become safer. Evidence: The current manager of Penn House has been in post since May 2008. She has not yet applied for registration with CSCI although she stated that she started the process last week. Changes of management over recent years has meant instability for the home and the proprietor said that it is for this reason that the home has not moved on. The current manager is enthusiastic and committed to improving the quality of the service provided at Penn House and has the full support of the proprietor. Throughout the inspection she took immediate action to address issues that were raised and demonstrated a strong commitment to prioritising the needs and the wishes of people living at Penn House. We spoke with the proprietor who said that he was happy to invest money into the home to make whatever changes were required to improve the
Care Homes for Older People Page 22 of 27 Evidence: environment and was confident that the current manager had the skills and ability to manage the home and thus improve the quality rating of the home. Within the last nine months the manager has prioritised meeting requirements made by CSCI to improve the service and has requested people who live at the home tell her about what it does well and where they feel it needs to improve. The first satisfaction survey has just been sent out and the closing date for responses is next week. Areas of improvement to date include, the review of care plans, a more prompt repair and maintenance service and better training for staff. All of these changes will improve the quality of life of people living at Penn House. Arrangements for safeguarding peoples finaicial interests were not reviewed at the time of this inspection. The manager stated that people living at Penn House had all had reviews with social care professionals and advocates and family members support people with their money where possible. An issue was raised at the time of the inspection in relation to the use of bed rails. The home had decided to fit bed rails for two people but reasons had not been clearly recorded and in one instance the manager described their use as as a restraint. Bed rails had not been assessed, fitted securely or covered to reduce the likelihood of injury. This means that they pose a risk to the health and safety of the people who have them fitted to their bed. As a result of this inspection we left an immediate requirement that the manager review the use of bed rails within the home to ensure that they are properly fitted and safely and appropriately used. The proprietor immediately took action to reduce the likelihood of injuries occurring with further action planned. The proprietor also informed the manager that he was unhappy with some aspects of what he had seen on the day of the inspection and requested immediate improvement. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 12 16 (2) (m) (n) People who use the service must be provided with a range of social and leisure activities both indoor and outdoor of the home. 15/04/2008 2 27 18 Care and ancillary staff must 15/04/2008 be provided in sufficient in numbers to ensure that the care needs of people who use the service, particularly those with Dementia, are appropriately met. 3 29 19 Two written references and 15/04/2008 one of these from the last employer, CRB and POVA checks must be obtained on all new staff prior to their commencement of employment in order to ensure safety and protection of people who use the service. Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 38 23 Bed rails must be safely 19/02/2009 fitted where used in accordance with the relevant Medical Hazard Reporting Agency and Health and Safety Executive Guidance for this equipment. This is so that residents are not put at risk of entrapment or falls Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 The records of the administration of medicines for the people who use the service must be robust and accurate This is to demonstrate that all medication is administered as prescribed. 02/03/2009 2 12 16 People who use the service 24/03/2009 must be provided with a range of social and leisure activities both indoor and outdoor of the home his is to ensure that people are stimulated mentally and physically and entertained to enable their expectations,
Page 25 of 27 Care Homes for Older People Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action preferences and recreational interests and needs to be met. 3 19 23 The home must ensure that 12/03/2009 people can safely leave the building in the event of a fire This is to ensure that in an emergency people are not trapped in the building or injured trying to leave it. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 1 Appropriate action should be taken to revise and update the homes Statement of Purpose and the Service User Guide to reflect the homes current registration and also in line with the recent changes to the Care Homes Regulations 2001, as amended and all other current legislation It is recommended that the home make suitable arrangements for the washing of commodes to ensure that they are properly cleaned and cross infection does not occur during the process. It is strongly recommended that the laundry floor finish is impermeable to ensure that the laundry room is hygienic and the risks of cross contamination are reduced. 2 26 3 26 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
