Inspection on 11/05/05 for Portland House

This inspection was carried out on 11th May 2005.

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

Portland House 29/07/09

Portland House 31/07/07

Portland House 03/07/06

Portland House 17/11/05

Portland House 02/12/04

Portland House 23/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Portland House 11 Portland Road Hove East Sussex BN3 5DR Lead Inspector Penny Bailey Unannounced 11 May 2005 10:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Portland House Address 11 Portland Road Hove East Sussex BN3 5DR 01273 325705 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Joginder Singh Vig Mrs Beant Kaur Vig Care Home with Nursing (N) 40 Category(ies) of Old age, not falling within any other category registration, with number (OP) 40 of places Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. For a maximum of thirty-six (36) service users in receipt of nursing care and four (4) service users in receipt of personal care. 2. That one named service user is admitted under the age of sixty (60) years on admission. Date of last inspection 2 December 2004 Brief Description of the Service: Portland House provides personal care and accommodation for up to forty older people. Thirty-six beds are for those residents in receipt of nursing care, with four beds for residents with social care needs. The Registered Providers are Mr and MrsVig, who own four other care homes in East Sussex. The home is situated in Hove, and is close to the town centre and local transport links. Portland House is a large detached residence with accommodation provided over two floors. The home provides an eight-person passenger lift and stairlifts to enable residents to access all parts of the home. Portland House has twenty-two single and seven shared rooms, thirteen rooms have en-suite facilities. There are gardens to the front and rear of the property, however, these are not accessible to wheelchair users. There is a lounge/dining area on both the ground and first floors, and a large function room in the basement area. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by two Inspectors between 10.30 a.m. and 5.00 p.m., forming part of the annual inspection programme for this home. A tour of the home took place, and the Inspectors spoke with sixteen residents of the thirty-two currently accommodated, and five members of staff. Staff and care records, menus and documentation relating to health and safety were examined. A discussion with the Manager took place around progress since the last inspection. The focus of the inspection was on the quality of life for people who live at the home. In order that a balanced and thorough view of the home is maintained, this inspection report should to be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their hospitality and assistance during the inspection. What the service does well: What has improved since the last inspection? Some maintenance work has been completed to the kitchen area, as required at the previous inspection, and the Manager reports that further upgrading of the kitchen is planned. Safety requirements made at the last inspection have been addressed. A quality assurance survey of the views of residents has been analysed and published, and is available to be viewed within the home. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 6 The home has obtained up-to-date local policies and procedures relating to the protection of vulnerable adults. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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 Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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) 3, 4 & 5 The home provides sufficient information to allow residents to make a positive choice whether Portland House is the type of home in which they wish to live. Likewise the home makes every effort to ensure that they have sufficient knowledge, and staff with enough experience to be able to look after the resident once they arrive at the home. Prospective residents are assessed before they move in, to ensure that the home is able to offer the care needed. EVIDENCE: The Manager or a senior member of staff visits prospective residents either at home or in hospital to tell them about Portland House, and make an assessment to ensure that their care needs can be met. The needs assessment then forms the basis for each resident’s plan of care. Staff receive training in the health and social needs of the elderly and this is updated on a regular basis. Prospective residents or their relatives are able to visit Portland House and talk to people living in the home before deciding whether they wish to live there, Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 9 and residents are admitted for a month’s trial period to ensure that they are satisfied with their placement. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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, 8, 10 & 11 The staff at the home are knowledgeable about the care of the residents, and records identify this. Care outcomes for residents are generally good, however, the Inspector noted that although staff were aware of residents’ individual needs, these were not always acted upon in a way that ensured their safety. All residents appeared well cared for on the day of the inspection. Staff must ensure that every time a change of care is identified, or a particular need is assessed, that this information is written in the care plan and reflects all of the residents physical, psychological and social needs. The social needs part of the care plan must be updated regularly to reflect the resident’s current interests and their abilities to take part in their preferred activities. EVIDENCE: An individual plan of care is in place for each resident, and these provide a comprehensive assessment and plans for meeting each residents physical care needs. Five individual plans of care were inspected. These comprised of many documents including needs assessments, personal information, daily notes and a plan of care, and provided the basic information necessary to guide staff to meet the needs of residents. An assessment of residents social care needs is Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 11 completed by the home’s Activities Coordinator, and it is recommended that a copy of this assessment is kept within each resident’s file. The Inspectors observed many interactions between staff and residents, all of which were respectful and sensitive. However not all staff were aware of the safety needs of residents, as one of the Inspectors observed a potentially hazardous situation that a resident was placed in. Residents consulted stated when they have requested medical intervention and advice this has been sought promptly. The home calls in specialist services for advice and support when necessary. Many letter of thanks from relatives, received following the death of their loved one were displayed at the home. Many did not have dates on, and it could therefore not be established what time period these related to, as some went back for many years. It was suggested that dates be put on such correspondence, in order to reflect a more accurate picture of the care provided at the current time, and in recognition of the appreciation of relatives. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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 & 15 Not all of the routines of daily living promoted individuality and residents choices. Dietary needs of residents are well catered for, with a balanced and varied selection of food available. EVIDENCE: An activities programme was displayed in the lounge. This was for the week prior to inspection and had been completed for only two days. Activities included in the programme were individual visits, sandwich-making and painting. No resident consulted was aware of any organised activities being undertaken. Five residents spoke of being bored, and reported that they did not leave their bedrooms, nor have they been outside since they came to live at the home. Residents stated that their visitors are welcomed at any time, and that they are offered hot drinks. Several male staff are employed, and it was not clear what arrangements were in place to establish the wishes of those residents who are not able to express their gender preferences when personal care tasks are undertaken. The home has been asked to ensure that this information is established and recorded on individuals care plans. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 13 A beverage ‘likes and dislikes’ list had been developed which had only been completed for two residents, with the remainder marked as “not applicable”. During morning tea it was observed that residents individual preferences were not ascertained or respected. Several residents commented that the tea was “too weak” and “Cold”. Throughout the period of inspection residents who were sitting in the lounges had bedside tables place in front of them. This has the potential to prevent independent movement. Also of concern was that these residents remained in their chairs throughout the inspection, and included eating their lunch whilst sitting in them. This did not promote good practices in pressure sore management or in social interaction. The Manager has been required to review this practice immediately. One resident was eating their meal whilst sitting on the edge of their bed. This did not promote good posture, and they stated they were extremely uncomfortable. The Manager was asked to ensure that staff were aware of residents’ need to eat their meals whilst sitting in a chair. Residents stated that they are provided with a choice of main meal each day, and all but two residents consulted stated that the food was good. Records of meals provided showed that a variety of meals are prepared, including vegetarian and diabetic. The meal prepared at inspection looked appetising and was presented to a good standard. Menus are currently not displayed and it was recommended that the day’s menu be displayed in a format appropriate to residents. This is to promote choices and can be used as an orientation prompt. The lunchtime meal was observed and staff were noted to offer assistance in a discreet and sensitive manner. Some residents were struggling to use standardised cutlery and plates effectively. The Manager has been asked to review each resident’s eating needs, to establish whether any specialised equipment is needed. The home was previously required to upgrade the kitchen area. Since the previous inspection overhead pipes have been lagged and a new cooker fitted. Not withstanding these improvements, there remains a need for the kitchen and washing up area to be upgraded in order to ensure that hygiene and infection control standards are maintained, particularly in relation to the flooring in the washing-up area. Not all recommendations noted in the last Environmental Health inspections report were being observed, with particular reference to the standard of cleanliness. Records required to be kept for food safety reasons were maintained and up to date. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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) 17 & 18 The inspector judged that resident’s rights were generally upheld, however, the home must review the practice of placing bedside tables in front of residents throughout the day. EVIDENCE: Arrangements are in place to enable residents to participate in the political process. This is mainly facilitated through postal voting, or residents can be supported to attend the polling station if desired. Residents consulted stated that if they had any concerns that they felt confident to approach the staff. The Inspectors were concerned to note that the current use of bedside tables that were being placed in front of residents in the lounge had the potential to restrict residents movements. As stated earlier, this restricts residents freedom and choices and the home must review their policy in respect of this. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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, 20, 21, 22, 23 , 24, 25 & 26 The standard of décor within the home is variable, with little evidence of improvements through maintenance of future planning. Generally the home does not, therefore present as a homely and comfortable environment for residents. EVIDENCE: The home is conveniently located close to Hove’s local amenities. The building consists of a large detached residence with accommodation provided over two floors. Level access is provided inside the home via an eight-person passenger lift and stair lifts. However no progress has been made towards ensuring that the external grounds are made accessible to wheelchair users and those with mobility problems. The Manager was reminded that this needed to be addressed as a matter of priority. The majority of bedrooms and all communal space was inspected, and these revealed that standards of décor and maintenance were variable. This includes redecoration of skirting boards, external paintwork, corridors, bedrooms and the replacement carpets. One bedroom window could not be opened in order to Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 16 ensure access to fresh air. A radiator in one bedroom had not been guarded. Not all bedroom doors had locks fitted. In order to address these environmental shortfalls the Manager has been required to develop a plan of redecoration and maintenance, and forward a copy to the CSCI. Bedrooms were seen to have been personalised by residents, and provided with furniture and bedding to a good standard. Shared space consists of a ground and first floor lounge. There is a small first floor balcony area for residents to sit in during fine weather. The dining room is in the basement and is used as a training room and events rooms for the organisations’ homes. As previously noted, meals are eaten on bedside tables while residents are sitting in armchairs. There is a small dining room table in each lounge but this is used to serve meals from. It is recommended that the layout of the lounges be reviewed, to ensure that residents have the opportunity to eat their meals at a table with other residents. There are sufficient number of communal showers and baths located around the building. However, due to the poor standards of maintenance and cleanliness in some of these, they present as unclean and unhygienic. The home was previously required to undertake a programme of deep cleaning of communal bathrooms, particularly with regard to shower chairs, bath hoists and bath mats. This had not been fully undertaken. A trolley used for serving drinks was being stored in a bathroom, which was unhygienic, and the Manager was immediately asked to remove this. Standards of cleanliness were variable, with some resident’s bedrooms cleaned to a good standard, with others in urgent need of more effective odour management. At the time of inspection there was one domestic on duty throughout the waking day. Due to the layout of the building and standards of cleanliness noted, the current domestic hours are insufficient to ensure that standards of cleanliness can be maintained. There was a range of individual aids and adaptations noted around the building including raised toilet seats, grab rails, hoists and call bells. Call points tested were in working order, and promptly answered by staff. In a shared ground floor bedroom the call point could not be accessed by one of the occupants whilst in bed, and the resident therefore had to wake the other occupant to call for assistance. The home has been asked to address this immediately. Throughout the inspection the call bell rang often and the tone and the pitch of the noise, which caused visible annoyance to some residents. The Inspector received feedback that the noise also woke residents up during the night. Therefore the Manager has been asked to review the tone and pitch of the call bell system. Suitable laundry facilities are provided, including a designated laundry personnel. Residents stated that their clothes were always returned to them, and the Inspector noted that the standard of laundering was good. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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 There is a core group of staff who have worked at the home for many years and who make a positive contribution to the quality of life of residents. The home is generally well staffed, but the Manager must ensure that sufficient staff are on duty during peak times of the day, and also that there are enough domestic staff to maintain the cleanliness of the home. EVIDENCE: Duty rotas demonstrated that the home is generally well staffed throughout the day, however, several residents commented to the Inspectors that they had to wait for assistance during the busiest times. For example when residents are getting up, or going to bed. There was one member of cleaning staff on duty during the inspection, and the Manager was asked to review this in light of the requirements made relating to the cleanliness of the home. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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) 37 & 38. 32, 33, 34, 36, Health and safety matters are generally well attended to, but chemical cleaners must not be stored openly in unlabelled containers. An up-to-date fire risk assessment must be completed, and regular fire drills carried out, to ensure that the health, safety and welfare of residents and staff are maintained. The Manager must develop strategies to enable staff and visitors to the home to share their views regarding how services are provided. Records must be stored in a way that maintains residents privacy and confidentiality. EVIDENCE: Portland House does not currently have a Registered Manager. The Acting manager has been in post for two years, and is a Registered Nurse with ten years experience. He has also completed a certificate in management and a diploma in performance coaching. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 19 The Inspectors noted that staff morale generally appeared low, and records showed that staff meetings were held infrequently. A requirement was made at the last inspection that staff, relatives and professional visitors’ views be ascertained, as well as those of residents, in order to inform the way in which the service in the home is delivered. There was little evidence at this inspection that strategies had been put in place for this to happen. A survey of resident’s views was completed in February 2005, and the Manager reported that steps were being taken to address any concerns raised by residents. Records showed that staff receive regular supervision, and the possibility of this being a forum that enables staff to give their views and ideas regarding the way services are provided, was discussed with the Manager. Good practices were noted in the recording of accidents, which included a clear account of the accident, and an analysis of action required to prevent reoccurrence. Resident’s records are currently stored in the nursing area on the ground floor. It was noted by Inspectors that details of residents personal care needs were displayed on notice boards in the lounge, and also around the nursing area, to which access was unrestricted. Some systems to support fire safety are in place. Fire alarms and emergency lighting checks were recorded and up to date. Service contracts are in place for the fire detection and fighting equipment. The last recorded fire drill was a year ago, and there is a need to undertake more regular fire drills to ensure that all new staff are aware of the fire procedures. A fire risk assessment needs to be been undertaken and reviewed regularly, which records the actions being undertaken to ensure adequate fire safety precaution in the home. Following the inspection a copy of the fire risk assessment completed in October 2003, and records of monthly fire drills were forwarded to the Commission for Social Care Inspection, however, these must be available for inspection within the home at all times. Potentially hazardous substances were generally stored securely, however, the Inspectors noted that an unlabelled bottle of cleaning solution was not kept in a locked cupboard. Hot water is controlled by mixer valves, and outlets checked showed that water was delivered close to the required safe temperature range. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 1 15 2 COMPLAINTS AND PROTECTION 2 1 3 2 3 3 3 2 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 x 3 2 x 2 3 3 x 3 2 2 Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 21 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 (2) Requirement Timescale for action With immediate effect. 2. 12 16(2)(n) That each time a change of care is identified, or a particular need is assessed, that this information is written in the care plan and reflects all of the residents physical, psychological and social needs. That service users are consulted With about the programme of immediate activities arranged and that effect suitable facilities are provided for recreation. That a record of each service users preferred activities is maintained within their plan of care. That so far as practicable the home enables service users to make decisions with respect to the care they are to receive and their health and welfare. That each service user is assessed to establish whether specialist eating equipment and facilities are needed. The registered provider must ensure that the home takes action to meet the requirements of the Environmental Health Authority (EHA). 3. 14 12(2) With immediate effect With immediate effect With immediate effect 4. 15 23(2)(n) 5. 15 16(2)(j) Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 22 6. 7. 18 19 12(1)(a) 23(2)(d) 8. 19 16 (2) (j); 23 (2) 9. 20 23 (2) (o) 10. 22 23(2)(n) 11. 12. 22 26 12(1)(a) 23(2)(d) 13. 26 16 (2) (j), 23 (1) (d) 18 (1) (a) That the practice of bed-side tables placed in front of service users in the lounge be reviewed. That a plan of re-decoration and maintenance be developed, which addresses the areas identified during the inspection and a copy forwarded to the CSCI. That maintenance and upgrading of the kitchen areas is undertaken in order to ensure that hygiene and infection control standards are maintained, particularly in relation to the flooring in the washing-up area. (Timescale of 01/10/04 & 02/03/05 not met) That the external grounds are made accessible to wheelchair users and those with mobility problems, and that seating is provided. (Timescale of 01/10/04 & 02/03/05 not met) That a call system with an accessible alarm facility is provided and accessible to all service users. That the tone and pitch of the call bell noise be reviewed to ensure residents comfort. That a programme of deep cleaning of communal bathrooms is undertaken, particularly with regard to shower chairs and bath hoists. (Timescales of immediate not fully met) That all parts of the home are kept clean and free from offensive odours. That staffing levels be reviewed to ensure that there are sufficient numbers of staff on duty at peak times to meet the needs of service users, and maintain the cleanliness of the home. With immediate effect With immediate effect 01/09/05 01/07/05 With immediate effect With immediate effect Ongoing With immediate effect With immediate effect 14. 27 Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 23 15. 32 21 (1) & (2), 24 (1) 16. 37 17 (1) (b) 17. 38 13 (4) (a) 18. 38 23 (4)(e) & Sch 4 (14) 13(4)(c) 19. 38 That strategies are developed for enabling staff, service users and other stakeholders to inform the way in which the service in the home is delivered. (Timescale of immediate effect not met) That information pertaining to all service users is stored securely, and that confidentiality is maintained. That COSHH substances are stored securely in a locked cupboard, and that chemicals are not transferred to unlabelled containers. That fire drills and practices are held at regular intervals and a record maintained of the outcome, and identify staff attending. That the Fire risk assessment is completed, reviewed frequently, records significant findings and the action taken to ensure adequate fire safety precautions in the home. With immediate effect With immediate effect With immediate effect With immediate effect With immediate effect 20. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 15 20 Good Practice Recommendations That each days menu be displayed in an appropriate format for residents. That the ergonomic of the lounges be reviewed to ensure that residents are provided with an opportunity to eat meals at a dining room table. Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Portland House H59-H10 S14026 Portland House V216477 110505 Stage 4.doc Version 1.20 Page 25 - 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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