Inspection on 14/06/05 for Plane Tree Court Care Village

This inspection was carried out on 14th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Plane Tree Court Care Village 04/11/09

Plane Tree Court Care Village 01/07/08

Plane Tree Court Care Village 17/08/07

Plane Tree Court Care Village 12/03/07

Plane Tree Court Care Village 25/04/06

Plane Tree Court Care Village 15/11/05

Plane Tree Court Care Village 16/12/04

Plane Tree Court Care Village 13/07/04

Plane Tree Court Care Village 19/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ross House 11 St Lesmo Road Edgeley Stockport SK3 0TX Lead Inspector Kath Oldham Unannounced 14 June 2005 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. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ross House Address 11 St Lesmo Road, Edgeley, Stockport, SK3 0TX 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) 0161-480-6919 0161-477-7936 Altruistic Care Limited Mrs S Jones CRH Care Home, PC Care Home only 44 Category(ies) of MD(E) Mental Disorder - over 65 (5) registration, with number OP Old Age (44) of places Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 44 OP and up to 5 MD(E). Date of last inspection 16 December 2004 Brief Description of the Service: Ross House is a large, detached building set in its own grounds in Edgeley, a suburb of Stockport. There are local amenities situated close by. Altruistic Care Limited owns the care home The directors of the company are Mr and Mrs Jivraj. The owners visit the care home on a regular basis with Mrs Jivraj carrying out the Regulation 26 visits as defined within the Care Home Regulations 2001. The care home is on four floors, with a passenger lift to assist service users to mobilise to the upper floors. Lounge and dining areas are situated on the ground floor with an additional lounge on the first floor. Ross House accommodates service users in 30 single and seven double bedrooms. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out on 14th June 2005. The inspectors spent time with service users in conversation, observing staff practice, speaking with the manager, deputy and staff in addition to speaking to relatives and visitors. The inspection also included examination of a sample of records and a partial inspection of the premises. Comment cards were also sent out to relatives and visitors. Their comments are included in the report. Action had been taken in relation to some of the requirements, which were made as a result of previous inspections. Some had been carried out, but others needed more work to meet the Regulations and National Minimum Standards, and there were others where no action had been taken. Verbal feedback of the findings of the inspection was given to the manager during and at the end of the inspection. What the service does well: What has improved since the last inspection? Some maintenance work has been carried out in the home and new chairs have been purchased so that all service users and relatives can sit in the lounge areas. The lighting in the dining room has been improved by the installation of wall lights; service users said the room looked a lot brighter. A new call bell system has been installed in the home, which enables service users to ring and alert staff when they need attention. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 6 Service users commented on the improved appearance of the conservatory where new curtains and lighting have been fitted. One service user said that the office had been changed back to a lounge, which provided an additional seating area where she spent most of her time. Service users said they preferred the smaller lounge where they could sit and chat and watch television without people coming in and out. One relative said they had been sent a comment card to let the home know what they thought of the home. They said they had not heard or been spoken to about the content and wondered whether anything would be done to address their comments. The care plans have been developed and are improved on those seen on previous inspections, the detail contained in the care plan assists staff to provide the care service users need. Staff appeared dressed appropriately to carry out their jobs which has not been the case previously. What they could do better: The organisation, planning and the provision of meals needs to receive a complete overall to ensure that service users receive a choice of meals and that the meals are attractively presented and provide adequate nutrition. It was not clear that staff were able to give care to service users with mental health problems as they had not had the correct training nor was it clear that staff supervision was undertaken to assist this care. Staff did not appear to take much pride in ensuring that service users were well turned out when they were not able to make decisions about clothing themselves. The public parts of the home were clean. The bedrooms and private areas were not always as clean as they should be. Attention to cleanliness and odours was not evident and it was not clear whether staff were aware of the smell of urinary incontinence. One comment card said the hygiene standards were not what their cared for relative was used to. One relative said they thought all care homes smelled. The record keeping and administration needs to be improved upon to ensure compliance with regulations and to record the service and care provided to service users. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 7 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. Ross House F54 F04 ross house U s8587 v226686 140605 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 Ross House F54 F04 ross house U s8587 v226686 140605 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, 2, 3 & 4 Service users do not have the necessary information to assist in their decision making to live at the home. EVIDENCE: The service user guide has not been given to service users and is in a draft form. A terms and conditions of residency has been amended and finalised but has not been given to all service users. One of the five files examined had evidence of a pre-admission assessment having taken place. Local authority assessments were in place. There was no record of the different treatments or care management for people with mental health needs. The records did not show that ongoing assessments for people with changing mental health needs were undertaken. Prospective service users and their families are able to visit the home prior to making a decision to stay. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 10 There were service users in the home with dementia and other mental health problems but it was not apparent from observation of staff practice that staff were aware of the different care strategies that may be necessary to meet these needs. Ross House F54 F04 ross house U s8587 v226686 140605 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, 8, 9 & 10 Care plans and risk assessments failed to record all care needs. was not recorded correctly. Medication EVIDENCE: Care plans were improved since those seen on previous inspections. They were however not complete, in that, they did not address all the needs identified in the assessment, for example. Service users were sitting in their wheelchairs for extended periods. There was no evidence that risk assessments had been carried out in respect of this. One service user said that they preferred to sit in a wheelchair. Wheelchairs were observed to be unclean: dust, dirt and debris were evident. Staff assisted service users in wheelchairs without footrests; such practice is unacceptable and places service users at risk of increased accidents and injury. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 12 The records did not contain any indication of the ongoing consultation with medical professionals from within the mental health sector. The day’s activities programme was not completed. There was no specific activity to support those service users who have mental frailty. Service users were sat in the lounge sleeping for long periods or attempting to walk around the corridors. The controlled drugs register was not accurate; the medication in the home was not the same as recorded in the register. Prescribed creams and lotions were stored in the bathrooms and could be used by service users they were not prescribed for and also lead to a risk of cross infection. Service users were sat on dirty chairs and drinks were given out by staff holding the rim of the cup as opposed to the handle. All service users were given the same juice, no choice was offered to them. One service user said you “get what you are given” and seemed surprised that you could have something else if you didn’t want or like what was being offered. Another service user said, that you could “ have something different if they had it in”. One relative said that their cared for service user was now able to attend a church service of her choice as most denominations were coming to the home regularly. Ross House F54 F04 ross house U s8587 v226686 140605 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, 13, 14 & 15 Service users are not able to exercise choice and make decisions but are able to maintain contact with family and friends. Limited choice and poor provision of meals has the potential for service users being at risk of poor nutrition or deterioration in their health. EVIDENCE: Most service users were observed sitting in the lounges for long periods, with no opportunities being provided to offer mental or physical stimulation. Service users were able to receive visitors at any reasonable time. Visitors were observed at the home. One relative said the staff always had time to talk to them. One relative said that staff were very busy. One visitor said that they found it difficult to visit their cared for service user due to mental frailty and found it difficult sitting alone for long periods with her as if not being seen by staff. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 14 A number of service users look dishevelled and didn’t look as if anyone had taken time in promoting their appearance. Service users’ hair appeared to be in the same style as everybody else, with no attention taken in the styling. One service user’s relative said their cared for service user always took great pride in her appearance and now she looked unkempt. The meal presented was unappetising and the taste was bland. The menus were not a reflection of the meals served, so service users didn’t know what they were having to eat. One service user said you don’t know what you are having until it is served. Records of the meals served, which must be maintained in line with regulations, were not accurate and didn’t give a clear indication of the nutritional content of the meal. Thought or pride did not appear to take place at the mealtime; staff practice appeared to be just to dish out the food on plastic plates. Two service users said the meals were enjoyable and always hot. Staff were observed assisting service users to eat their meal with sensitivity and patience, time was taken to explain the content of the meal. Ross House F54 F04 ross house U s8587 v226686 140605 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 Procedures for dealing with complaints were in place, however the recording needs to be improved. EVIDENCE: The home has a complaints policy and procedure. A number of entries in the record were complaints about other professional services. There were no recorded complaints since the last inspection. One visitor said they had reason to complain in the past and this was dealt with, however the home needs to be reminded about the same issues. Another relative said that they were happy with the service provided and that their resident was looked after. A further relative said they were not aware of the formal process of complaints but would see the senior on duty. Ross House F54 F04 ross house U s8587 v226686 140605 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, 21, 22, 23, 24, 25 & 26 The lack of repair, replacement and upkeep of the home does not promote the safety, security, comfort and respect of service users. EVIDENCE: There was an unpleasant odour in the hall and lounge and although domestics were employed, the routines did not appear to keep the home clean and odour free. Service users complained that the picture on the television was not clear so they couldn’t enjoy the programme. The television stayed on the same channel during the inspection. Service users did not appear to have a remote control to change channels. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 17 A number of toilet areas were without heating, the rooms presented as very cold and unwelcoming. A number of the toilet doors did not indicate what the room was. Research indicates that pictures and names on doors indicating their purpose help service users with mental health in their independence and orientation. The bathrooms had old or unused frames, wheelchairs and blankets stored in and around the bath which minimises their use and compromises the health and safety of service users and staff. Carpets in the hallways were ill fitting which compromises the health and safety of service users and staff. The carpet near the kitchen was sticky, one service user couldn’t understand why their feet were sticking when they walked and became very upset as to what was happening. A number of the bedrooms had been redecorated and had replacement carpet. The remaining bedrooms were in need of redecoration and new carpeting. One representative said the decoration was not what they were used to but felt they did not want to make a fuss. A service user said that the bedroom was never clean and tidy and the commode wasn’t emptied when it was used which made the bedroom smell horrible. A number of bedrooms did not have numbers on the doors; some service users would have difficulty in finding their bedroom on their own. In an emergency, bedrooms may not be located quickly, which may potentially put service users at increased risk. One wall of a bedroom was black with damp, the adjoining bathroom walls had plaster showing. Fluorescent lighting remains in place in parts of the building. Such lighting is unsuitable for constant use in areas used by service users. Some fluorescent fittings did not have diffusers, which puts service users at risk and compromises health and safety guidelines. The appliance storeroom had no lighting in it. Complaints were made by service users and their family or friends about the laundry and its efficiency. The laundry is very small and provides two washing machines. One of the washing machines and a dryer were broken, which meant that washing wasn’t done quickly. The walls in the laundry need painting to comply with standards and the floor was faulty which increases the risk of the spread of infection. A new call point system has been installed since the last inspection, which service users can use to call for assistance. Ross House F54 F04 ross house U s8587 v226686 140605 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 & 30 The home employs staff in sufficient numbers. The lack of skills and staff training in mental health compromises the level of care and support provided to service users. EVIDENCE: Staff duty rotas showed that the minimum staffing levels were met. Staff said many service users were highly dependent and they had difficulty in encouraging service users to do things for themselves independently because it took too much time. Service users were left sitting in the lounges for long periods of time. Service users and representatives said that staff were always busy. The workforce was stable and there was little, if any, use of agency staff, ensuring that staff that knew the service users they were caring for. The staff team had attended mandatory training. A large majority of the staff have obtained NVQ qualifications. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 19 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, 32, 33 & 36 Service users do not have a say in the way the home is run. The management style does not monitor and develop staff practice and routines. Record keeping was not satisfactory. Business and financial plans were not in place. EVIDENCE: The manager has NVQ level 4 and the registered manager’s award. However, she was not able to demonstrate a thorough understanding of the needs of people with mental ill health. Service user meetings are not currently arranged at the home. The detail and topics discussed in staff meetings was not apparent from the notes and records maintained. A new member of staff is to be appointed whose role will include the development of administrative procedures. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 20 Comment cards have been sent out by Ross House to service users and representatives to get feedback about the service provided. The results from this are to be analysed and an action plan developed. Service users were positive about the manager and senior team and said they regularly had conversations with them. One representative said the manager always makes time to talk. As on previous inspections, there were no business or financial plans, despite requirements having been made. The registered person reported that suitable accounting and financial procedures were in place in connection with running the home. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 21 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 1 1 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 2 14 2 15 1 COMPLAINTS AND PROTECTION 2 2 2 2 2 2 2 2 STAFFING Standard No Score 27 1 28 2 29 x 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x 2 1 2 x x 2 x x Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5 Requirement The registered person must conclude the work on the service user guide to include the telephone number of the CSCI, a summary of the Statement of Purpose and a copy of the most recent inspection report. The registered person must give all current and prospective service users a copy of the guide. The completed service user guide must be forwarded to CSCI. (Timescales of 30/09/04 and 28/02/05 not met). The registered person must obtain a full assessment prior to the admission of a service user to the home. (Timescale of 28/02/05 not met). The registered manager must ensure that service users admitted to the home do not adversely impact on those already resident. (Timescale of 28/02/05 not met). The registered person must provide staff, individually and collectively, with training to enable them to care for service users with mental health and F54 F04 ross house U s8587 v226686 140605 stage 4.doc Timescale for action 31/08/05 2. OP3 31/08/05 3. OP3 31/08/05 4. OP4 31/08/05 Ross House Version 1.30 Page 23 5. OP7 6. OP7 15 7. OP9 13(2&4) 8. 9. OP9 OP10 13(2) 12(4a) 10. OP10 12 & 13 11. OP12 12. OP15 16 physical care needs. (Timescale of 28/02/05 not met). The registered person must provide staff with training in the completion of the care plan and amend the care plan to include all areas as detailed in the Standard. (Timescale of 28/02/05 not met). The registered person must ensure that the care plan details all assessed needs of service users, including the activity, occupation and stimulation which must be provided at the identified time. The registered person must remove prescribed creams and lotions from communal bathrooms. The registered person must ensure that the controlled drugs register is maintained accurately. The registered person must further promote the dignity and respect of service users by staff taking time and thought when assisting service users in their personal appearance. The registered person must train and direct staff in hygiene practices ensuring safe working practices are maintained and cleanliness is promoted. The registered person must detail in service users care files their interests, hobbies and recreational activities and provide activities to meet their needs. (Timescales of 30/09/04 and 31/01/05 not met). The registered person must review the menus at the home to ensure that a choice and variety is provided to service users at all meal-times, ensuring thought is given to the presentation and appearance of meals. 31/08/05 31/08/05 31/07/05 31/07/05 31/08/05 31/08/05 31/08/05 31/08/05 Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 24 13. 14. OP15 OP15 Sch 4(13) 16 15. OP16 22 16. OP21 23(2p) 17. OP19 OP26 18(1ci) 23(2d) 16(2)(e) 18. OP26 19. 20. OP26 OP29 16(2) 23(2) 19 Sch 2 21. OP30 18 The registered person must ensure that the record of food served is maintained accurately. The registered person must review and amend the routine at meal-times to ensure that they are organised and put service users at the forefront of the meal. The registered person must develop the recording in the complaints book ensuring that staff complete the record and are aware of what constitutes a complaint. Record the action taken. The registered person must ensure that all rooms used by service users are maintained at an ambient temperature. (Timescale of 28/02/05 not met). The registered person must ensure that the home is clean and odour free. (Timescale of 28/02/05 not met). The registered person must repair or replace washing machines and tumble dryers as soon as possible following breakdown. The registered person must redecorate the walls and replace the flooring in the laundry. The registered person must obtain for each member of staff a copy of their birth certificate, passport, documentary evidence of any relevant qualification, two written references and evidence that they are physically and mentally fit for the purpose of the work they are to perform. (Timescales of 30/09/04 and 28/02/05 not met). The registered person must, taking reference from Skills for Care induction and foundation 31/08/05 31/08/05 31/08/05 31/08/05 31/08/05 14/06/05 31/08/05 31/08/05 31/08/05 Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 25 22. OP32 23. OP33 12(2&3) 24 24. OP34 25(1) 25. OP38 13(4b&c) 26. OP38 13(2c&5) training, ensure the training meets the National Training Organisations specifications. Provide staff with induction training to the specification within six weeks of appointment and foundation training within six months of appointment and record this. (Timescales of 26/09/04 and 28/02/05 not met). The registered person must introduce revised management systems in the home and quality assurance systems that demonstrate a commitment to the welfare of service users who are accommodated. (Timescale of 31/03/05 not met). The registered person must arrange for service users to have regular meetings. (Timescales of 31/10/04 and 31/03/05 not met). The registered person must ensure that there is a business and financial plan for the home, open to inspection and reviewed annually. (Timescales of 30/09/04 and 31/03/05 not met). The registered person must ensure that risk assessments include more detail, particularly in relation specific nature of the risk and factors which had been taken into account in managing the risk. (Timescales of 30/09/04 and 28/02/05 not met). The registered person must ensure footrests are in position on wheelchairs when in use. The registered person must ensure that equipment used by service users is maintained to a good standard and is clean. 31/08/05 31/08/05 31/08/05 31/08/05 31/08/05 Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 26 (Timescale of 28/02/05 not met). 27. 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. Refer to Standard OP14 OP15 Good Practice Recommendations The registered person should, over a period of time and to coincide with the refurbishment of the home, introduce new bedroom doorlocks to all service users bedrooms. The registered person should ensure that tables are prepared prior to the meal-time with condiments, cutlery and decoration to provide service users with an appropriate setting for their meal. Serve meals to service users in a manner which promotes their abilities. The registered person should research the content of the local authorities protection of vulnerable adults procedures, ensuring they are compatible with the homes policy and procedural guidelines. The registered person should provide televisions in the lounges that provide a picture quality of an acceptable standard. The registered person should upgrade the decoration in the bathrooms and toilets and promote a personalised environment which is welcoming and homely. The registered person should provide adequate lighting in the wheelchair storeroom ensuring staff safety when using this area. The registered person should continue with the programme of redecorationand refurbishment. Service users and/or their families/representatives should be given the opportunity to choose the furnishings. The registered person should replace all fluorescent light fittings in areas used by service users with appropriately styled fittings which are conducive to a homely environment. The registered person should ensure that staff attend the home at the times they are employed to do so, any absences must be monitored by the manager and action taken to maintain employment. The registered person should ensure that more F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 27 3. OP18 4. 5. 6. 7. OP20 OP21 OP22 OP23 8. OP25 9. OP27 10. OP36 Ross House comprehensive minutes of staff meetings are maintained. Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 28 Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Place Ashton under Lyne, OL7 0QD 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 Ross House F54 F04 ross house U s8587 v226686 140605 stage 4.doc Version 1.30 Page 29 - 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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