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Inspection on 10/05/05 for Perth House Care Home

Also see our care home review for Perth House Care Home for more information

This inspection was carried out on 10th May 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This Home provided a well-constructed statement of purpose and Service Users needs were well addressed at the time of their admission and throughout their stay. Service Users medication issues were well met by the management of the Home. The wishes of Service Users following their death were appropriately recorded. Service Users said that they were happy with the entertainment provided by staff and it was observed that staff met Service Users needs appropriately. Relatives and friends of Service Users could visit at anytime and Service Users could see them in their bedrooms or in one of the lounges. Service Users were very clear that they were happy with the quality and choice of meals provided. The management of the Home took Service Users and relatives complaints seriously. The Home was well laid-out, with easy access provided to Service Users bedrooms.

What has improved since the last inspection?

The statement of purpose had been greatly improved since the last inspection. Requests by senior staff that a Service User be monitored for a period was now more appropriately recorded within Service Users records. Service Users were now provided with access to their records on a regular basis. When staff applied creams to Service Users a suitable record was maintained. Other medication issues were well address by the Manager included providing appropriate training for staff. Service Users wishes following their death were now being appropriately recorded in Service Users files. The complaints procedure had been improved, although as will be seen later an issue still need to be met. Staff are now informed that they cannot benefit from Service Users wills. Senior managers in the Home now appropriately supervise staff. The Manager has ensured that risk assessments relating to staff duties had been addressed.

What the care home could do better:

The Registered Providers and Manager need to improve the Service Users Guide to the Home. Service Users had not been provided with a statement of terms and conditions of occupancy. The Manager had not addressed all of the limitations that might need to be placed on a Service User with respect to their ability to make decisions and choices, and freedom of movement inside andoutside the Home. The Registered Providers did not provide Service Users before admission with a written statement to say that the Home could meet their needs in respect of their health and welfare. The Manager needs to ensure that the Home`s complaints procedure informs Service Users of the timescales within which the Home will address a complaint. Most significantly the Registered Providers were not providing sufficient care staff time in the Home, when compare with the Residential Forum. Senior managers did not inspection the Home at the intervals laid down by the Regulations.

CARE HOMES FOR OLDER PEOPLE Perth House Care Home Athlone Close Chaddesden Derby DE21 4BP Lead Inspector Steve Smith Unannounced Inspection 10 May 2005 10:05 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. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Perth House Care Home Address Athlone Close Chaddesden Derby DE21 4BP 01332 717777 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) Derby City Council Kevin James Jowett Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 18 Ocotber 2004 Brief Description of the Service: Perth House is situated within a residential area of Derby city. It is registered to provide residential care for 39 older people. All bedrooms are single and are provided over two floors, which are connected by a shaft lift and staircase. A variety of communal areas are provided. A commercial type of kitchen and laundry service the Home. All areas of the Home are accessible to Service Users and seating is provided in the Home’s garden. The Home has a car park. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7 hours. Discussion took place with the Manager, two Assistant Managers and two Service Users. Records were examined and a tour of the Home took place. What the service does well: What has improved since the last inspection? What they could do better: The Registered Providers and Manager need to improve the Service Users Guide to the Home. Service Users had not been provided with a statement of terms and conditions of occupancy. The Manager had not addressed all of the limitations that might need to be placed on a Service User with respect to their ability to make decisions and choices, and freedom of movement inside and Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 6 outside the Home. The Registered Providers did not provide Service Users before admission with a written statement to say that the Home could meet their needs in respect of their health and welfare. The Manager needs to ensure that the Home’s complaints procedure informs Service Users of the timescales within which the Home will address a complaint. Most significantly the Registered Providers were not providing sufficient care staff time in the Home, when compare with the Residential Forum. Senior managers did not inspection the Home at the intervals laid down by the Regulations. 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. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 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 standard(s) 1, 2 and 3. The Registered Providers had provided a statement of purpose and Service Users Guide to the Home, although not all details had been completed to fully inform Service Users and their relatives of the provision made by the Home. EVIDENCE: The statement of purpose, which was a well-constructed document, did not include details of the size of bedrooms. The Service Users Guide did not include details of the individual accommodation and communal space provided within the Home. The Guide contained the details of the Registered Providers and Manager but only their names and not the qualifications they each held. It also lacked information on where a copy of the last inspection report could be obtained. Service Users and their relatives had not been facilitated to make complaints, in that the details provided in the Service Users Guide were incomplete. The Guide also did not contain Service Users views of the operation of the Home. The Guide should have contained information for Service Users and their families on how to make contact with the local Social Services Dept and local Health Authority, but it did not do this. All of these items had been outstanding since the inspection report dated October 2004. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 9 The Registered Providers were required to provide all Service Users, whether privately funded or sponsored by Social Services Depts, with a contract or statement of terms and conditions of occupancy. This had not been done, and was outstanding from the inspection report of October 2003. When new Service Users were admitted to the Home, the Manager was provided with a summary of needs of each person, completed by the Care Manager supporting each Service User. If the Service User was self-funding from the outset the Manager said she would complete her own summary of need, although no initially self-funding Service User had been admitted to the Home. One Service User spoken to said that they initially came to the Home as a day visitor. As a result the Service User got to know the Home and its ways, together with the names of some Service Users and staff before moving into the Home. The Service User said he was very please to have had this opportunity. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 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 standard(s) 7, 9, 10 and 11. The Service Users plans of care did not meet the standards laid down by the Regulations. Medication was appropriately distributed to meet Service Users needs. EVIDENCE: Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 11 To help assess Standard 7 the records of four Service Users were examined for the purpose of case tracking. It was found that all basic information was provided, although a photograph of one Service User was missing from their file. None of the files had the initial assessments made by the Care Managers who placed each Service User within the Home. However, the initial assessments completed by staff employed at Perth House were available, together with the individual plan of care, which were completed in good detail. Three of the files contained the Contract/Statement of Terms and Conditions made between the Registered Providers and the Service User, although the fourth file lacked this. Risk assessments had been completed and were available within each file. Medication details were also available. It was seen that annual reviews of care had been carried out, rather than six monthly reviews, as recommended by the Commission for Social Care Inspection. All of the files had evidence to show that the Service User had seen their own plan of care and agreed its contents. There was no indication that Service Users or their representatives had been asked about the limitations that might need to be placed upon the Service User’s ability to make choices, their freedom within and outside the Home or their ability to make decisions. All Service Users had been given access to the Service Users Guide. Regular recording by care staff was provided in each file, although night staff carried out the majority of recording. The Manager reviewed the files at regular intervals, which was evidenced by her signature. The Inspector found all four files easy to read and the Manager kept the files in a safe location. None of the files had a confidential section within them. Lastly, no Service User was provided with confirmation, in writing from either the Registered Providers, or Manager, to say that the services provided at Perth House were suitable to meet the Service User’s assessed needs in respect of their health and welfare. As already stated, medication and the relevant records were reviewed and found to be in good order. Occasionally, senior staff had failed to sign the Medication Administration Record (MAR) sheet, but the Manager had marked those occasions and discussed them with the staff concerned. The Manager was advised to keep a record of these discussions on the back of each MAR sheet. One Service User spoken to said that he looked after his own medication, while the other said that staff managed medication for her. Two Service Users were spoken to, and both commented that they liked the Home very much. One of the Service Users was able to say that they had a copy of the current individual plan of care, and that they understood it. However, this Service User also said that they were not involved with helping to maintain their personal record. They both said that their care needs were always met with dignity and respect by the staff of the Home. It was noted that each Service User’s file contained information to say whether the Service User wished to be buried or cremated, and on occasion the name of the Undertaker who was to carry out the funeral. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 12 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, 13, 14 and 15. Service Users independence was promoted through providing information and offering choice. EVIDENCE: Service Users spoken to said that entertainment, bingo and other games, were regularly arranged by staff. In general, both Service Users said that they were happy with the quality of staff and the interaction provided by them. Conversation between Service Users and staff was observed, and was seen to always be very relaxed, friendly and supportive. Service Users said that they could manage their own money, if they chose to do so. Both Service Users said that they felt safe living in the Home. Service Users said that when they were well enough they could take themselves to the nearby shops, at times of their own choosing. One Service Users said that they were able to choose when they got up and went to bed. This Service User also said that he chooses to lock his bedroom door at night, although staff will use their passkey to check that he is well through the night. Service Users said that their relatives and friends could call at any time, and that they could be seen either in one of the main lounges or within their own Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 13 bedroom. One Service User said that staff always knock and wait to be invited into his room, although the other Service User said that some staff knock and wait to be invited in, but others knock and walk in without being invited to do so. Both Service Users were able to say that their mail was always delivered to them unopened. They also said that smoking was only permitted within the smoking room provided in the Home. Service Users said that there was always a choice of meal at mealtimes, and one said that something else could be chosen if the meals on the menu did not appeal. All Service Users were offered three full meals each day, and a cooked option was available in the morning, midday meals and at most evening meals. Hot and cold drinks and snacks were available at all times, and a snack meal was offered in the evening before Service Users went to bed. Meals were seen to be offered in an attractive manner and the menu was changed regularly. Staff ensured that Service Users were aware of what was available on a daily basis. Staff were seen to be ready to assist Service Users in eating whenever this was necessary. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 14 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 The Registered Providers and Manager provide a good response to Service Users complaints, which enables Service Users to feel confident about the care provided. EVIDENCE: Both Service Users spoken to said that if they wished to make a complaint they would do so to somebody on duty in the main office of the Home, although one said they would do so in writing and the other would do so verbally. Both were very confident that their concerns would be appropriately addressed, although neither had chosen to make a complaint, up to the time of this inspection. The Assistant Manager was asked to provide details of all complaints made since the last inspection, but she was unable to find the complaints file. In later discussion with the Manager, it became apparent that the Home’s complaints procedure, available to Service Users, did not mention any timescales within which a complaint would be addressed. The Registered Providers and Manager need to become aware of the contents of the Public Interest Disclosure Act of 1998, and of the Dept of Health guidance ‘No Secrets’. This item was listed in the inspection report of October 2004 but had not been addressed at the time of this inspection. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 15 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, 24 and 26 The Home was attractively decorated and presented throughout, although some issues needed to be addressed in and around Service Users bedrooms. EVIDENCE: The communal areas of the Home were inspected together with a sample of four bedrooms of Service Users. The lounges and dining areas of the Home were well laid out, providing ample space for Service Users. The central toilet, opposite bedroom 14 was found to be loose on the floor and needed attention. The four bedrooms inspected were found to be well maintained and appreciated by Service Users. However, bedroom 4 was only provided with a 40-watt central light bulb, which should have been 100 watts, unless otherwise stipulated by the Service User. Also in this bedroom, the fitment under the washbasin was found to be loose, it hung down therefore needing attention. In one of the four files examined a record had been kept of the Service User’s choice of having one chair and a table lamp etc. in their bedroom, but these issues had not been recorded in the other three files examined, even though a ‘reminder’ was seen within each file. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 16 Laundry facilities were sited so that soiled articles and clothing were carried through the Home’s lounges and dining areas to reach the laundry. Although this was done outside of mealtimes, it was not done in covered containers. Some of the clothing in the laundry was examined. The majority of the clothing items seen were appropriately labelled, although two items lacked any sort of label. Most clothing was found on hangers, and again most items were labelled with Service Users names, although a small number lacked any sort of label. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 17 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. The Registered Providers were not providing sufficient care staffing to meet the assessed needs of the Service Users. EVIDENCE: Staffing rotas for weeks beginning the 8 and 15 May 2005 were examined. These showed that day care and night care staffing amounted to 513 hours and 528 hours respectively. However, according to the Residential Forum staffing should have been provided at 698 hours each week if 19 Service Users were judged to be at the ‘Medium’ level of need and 20 at the ‘Low’ level of need. Alternatively, if all 39 Service Users were judged to be at the ‘Low’ level of need then staffing should have been provided at 659 hours each week. Both of these figures were above the level of care staffing provided by the Registered Providers. The above figures were calculated including the Manager’s working time, but the Residential Forum requirement does not include the Manager’s working time within staffing requirements. When rescheduling the rota the Registered Providers need to take this into account. The staffing schedule examined during the last inspection of October 2004 also did not meet Standards. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 18 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) 31 and 38. Lack of senior management input to the Home means that the needs of Service Users were not appropriately addressed. EVIDENCE: These Standards were not examined during this inspection. However, when reviewing the outstanding requirements from the last inspection report of October 2004 it transpired that two requirements had not been addressed. They are listed below. The Registered Providers were required to ensure that senior managers visited the Home on a monthly basis to carry out the monthlyunannounced ‘inspection’ of the Home. However, this had not been done since January 2005. The Registered Providers were also required to carry out the requirement listed by the Environmental Health Officer during his visit made in 2004, Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 19 to improve the fly screens in the kitchen. However, this had also not been addressed. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 20 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 2 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x 3 x 3 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 2 x x x x x x 2 Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 21 NO 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 OP1 Regulation 4 Requirement The statement of purpose contains information on the physical environmental standards but this has not been summarised in Service Users Guide. (From inspection report dated 18 October 2004) The Registered Providers must complete the Service Users Guide as laid down in Regulation 5 and Standard 1.2 and 1.3. (From inspection report dated 18 October 2004) Every Service User staying in the Home must be supplied with a statement of terms and conditions for occupancy, or a contract, as listed in Standard 2.2. (From inspection report dated 7 October 2003) A photograph of each Service Users must be available in each Service Users file. (From inspection report dated 27 July 2004) Service Users records must contain the assessment completed by the admitting Care C52 C02 S36250 Perth House V224803 160505 Stage 4.doc 2. OP1 5 3. OP2 5 4. OP7 17 & Sch. 3 5. OP7 14 Timescale for action 11 July 2005 Previously this was required by 31 January 2005 11 July 2005 Previously this was required by 31 January 2005 11 July 2005 Previously this was required by 31 January 2005 11 July 2005 Previously this was required by 31 January 2005 17 June 2005 Page 22 Perth House Care Home Version 1.30 Manager. 6. OP7 17 Sch. 4 Service Users files must contain details of the contract/statement of terms and conditions for living in the Home. (From inspection report dated 18 October 2004) 11 July 2005 Previously this was required by 31 January 2005 Each file must contain details of 11 July the limitations placed on Service 2005 Users, as agreed by each Service Previously User or their representative, on this was the Service User’s ability to required by make choices, their freedom of 31 January movement inside and outside the 2005 Home and their ability to make decisions. (From inspection report dated 18 October 2004) Each Service User’s file must 11 July contain information from the 2005 Registered Providers to say that Previously the services provided in the this was Home are suitable to meet the required by Service User’s assessed needs in 31 January respect of their health and 2005 welfare. (From inspection report dated 18 October 2004) The Manager must ensure that 17 June staff are aware of the need to 2005 knock and await a response from the Service User before entering bedrooms. The Manager and care team need to decide which Service Users this must apply to, given Service Users differing abilities. The Manager must ensure that 17 June the Homes record of complaints 2005 is always available. The Registered Providers and 17 June Manager must ensure the 2005 Complaints Procedure provided to Service Users includes details of the timescale within which time the Home will address each complaint. Main lighting of 100-watts must 17 June Version 1.30 Page 23 7. OP7 17& Sch. 3 8. OP7 14 9. OP13 12 10. 11. OP16 OP16 17 and Sch 4 22 12. OP19 23 Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc 13. 14. 15. OP19 OP19 OP27 23 23 18 16. OP31 26 17. OP38 16 be provided in each bedroom, unless the Service User has requested an alternative. Bedroom 4 was only found to have lighting of 40-watts. In bedroom 4 the under washbasin fitment must be repaired. The central toilet, opposite bedroom 14 must be tightened as it is loose on the floor. The Registered Providers must provide day care and night care staffing at least in line with that required by the Residential Forum. This figure is not to include the Managers working time. (The Registered Providers were not meeting this Requirement at the time of the last inspection report dated 18 October 2004) The Registered Providers must ensure that senior managers visit the Home at least every month, on an unannounced basis to ‘inspect’ the Home. Details of what must be carried out every month can be found in Regulation 26 of the Care Homes Regulations. (From inspection report dated 18 October 2004) The requirement made by the Environmental Health Officer must be carried out. This is to improve the fly screens provided in the kitchen. (From inspection report dated 18 October 2004) 2005 17 June 2005 17 June 2005 11 July 2005 Previously this was required by 31 January 2005 11 July 2005 Previously this was required by 30 November 2004 11 July 2005 Previously this was required by 31 January 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 24 Perth House Care Home 1. Standard OP1 2. OP7 3. OP7 4. 5. OP7 OP7 6. OP9 7. OP18 8. 9. OP24 OP26 10. OP26 The Registered Providers and Manager should make available to Service Users, and their families, information on how to make contact with the local Social Services Dept and local Health Authority. (From inspection report dated 18 October 2004) The Manager should formally review each Service User’s file, together with the Service User and their relatives, at least every six months. (From inspection report dated 18 October 2004) The Manage should ensure that acceptable records are provided by both day staff and night staff. Service Users records, at the time of this inspection, where primarily completed by night staff, with much less recorded by day staff. The Manager should maintain a ‘Confidential’ section in each file, as necessary. (From inspection report dated 18 October 2004) When care staff complete the monthly records of Service Users they should share this, together with other data in the Service Users file, with the Service User, where they are able, and encourage them to sigh the record to indicate that they had seen it. When the Manager finds a gap in the signature record of Medication Administration Record (MAR) sheets, not only should she mark the gap but also record on the back of the MAR sheet the action she has taken with the relevant member of staff. The Registered Provider and Manager should become aware of and respond to the contents of the Public Interest Disclosure Act of 1998, and of the Dept of Health guidance ‘No Secrets’. (This Standard should have been addressed from the inspection report dated 18 October 2004) The Manager should ensure that an accurate record is kept of Service Users choice of furniture in their bedrooms. When Service Users dirty laundry needs to be carried through lounges to reach the laundry this should be done in ‘covered’ containers. (This Standard should have been addressed from the inspection report dated 18 October 2004) Service Users clothing should all be appropriately labelled with the correct Service Users name. Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection A Cardinal Square Nottingham Road Derby, DE1 3QT 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 Perth House Care Home C52 C02 S36250 Perth House V224803 160505 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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