Inspection on 01/10/08 for Preston Glades Care Home

This inspection was carried out on 1st October 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Preston Glades Care Home 04/09/07

Preston Glades Care Home 09/03/07

Preston Glades Care Home 24/04/06

Preston Glades Care Home 19/12/05

Preston Glades Care Home 04/08/05

Preston Glades Care Home 23/02/05

Preston Glades Care Home 24/05/04

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Preston Glades Care Home Miller Road Preston Lancashire PR2 6NH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Phil McConnell     Date: 0 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Preston Glades Care Home Miller Road Preston Lancashire PR2 6NH 01772651484 01772651514 preston.glades@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Healthcare (England) Limited (Wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Type of registration: Number of places registered: care home 65 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Old age not falling within any other category - Code OP, (maximum number of places: 34) Dementia - Code DE (maximum number of places: 31) Mental disorder, excluding learning disability or dementia - Code MD (maximum number of places: 34) The maximum number of people who can be accommodated is: 65 Date of last inspection 31 34 0 Over 65 0 0 34 Care Homes for Older People Page 4 of 28 Brief description of the care home Four Seasons Health Care owns Preston Glades Nursing Home. The Home is registered with the Commission for Social Care Inspection to provide nursing and personal care to older people of both sexes. Preston Glades is a purpose built two-storey building and care is provided in two areas of the home for the two categories of service user. Those needing care regarding dementia are cared for on the first floor of the home, and those needing nursing and personal care on the ground floor of the home. There are 62 single bedrooms of which 16 have en suite facilities and 1 double room. There is a passenger lift to each floor of the home. The home is situated in its own grounds and there is an enclosed garden area at the rear of the home with a pleasant sitting area. There are parking areas available at the side and front of the home. Preston Glades is located in a residential area of Preston and is close to local shops and amenities. It is situated on a bus route into Preston town centre. The present rate of charging is between £346 and £626 depending on individual needs. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes Older People. This included an Annual Quality Assurance Assessment, AQAA, which is a self assessment document that had been completed by the homes manager, a number of returned surveys, which been returned to the Commission for Social Care Inspection, CSCI, by service users, relatives and members of staff. All of the information that had had been gathered since the last inspection visit including, notifications and any received concerns or complaints were also used in the overall inspection process. Care Homes for Older People Page 6 of 28 An unannounced inspection was carried out the 1st of October 2008 by two inspectors, with a second announced visit taking place on the 8th of October 2008. During the visits, the homes policies and procedures were examined. Seven service users files were examined and there was the opportunity to have brief discussions with some of the service users. Seven staff files were also examined including, training information and recruitment material. Generally most of the files are in need of being better organised. Discussions also took place with some of the staff and with some visitors to the home.The discussions with the visitors were very positive, particularly regarding the new manager. A full tour of the premises took place, see Environment section. What the care home does well: What has improved since the last inspection? What they could do better: There is a need to speed up the redecoration programme, so that all areas of the home will benefit in a shorter space of time. Some of the floor covering needs to be replaced with a non absorbent covering. This will help eliminate the strong odorous smells in the affected areas. Some of the bedroom furniture is in need of being replaced. Some of the poor fitting bed linen needs to be replaced. (See environment section). The recruitment process needs to be more robust, helping to ensure that vulnerable Care Homes for Older People Page 8 of 28 people are safeguarded and protected as much as possible. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a thorough and comprehensive assessment process in operation at the home. This helps to give the assurance that individual care needs will be identified and appropriately met. Evidence: The annual quality assurance assessment,(AQAA) which was completed by the manager states, service users needs are fully assessed to ensure that we are providing the appropriate care and are able to meet their needs, this is done prior to admission. The document also refers to prospective service users and their representatives,being invited to the home prior to any offer of accommodation being made. The Commission received surveys from service users relatives and it appears that people are provided with satisfactory information, in order to help them make decisions. Care Homes for Older People Page 11 of 28 Evidence: In discussion with some relatives it was confirmed that people are encouraged to visit as many times as they wish before making a decision about going to live at Preston Glades. It was also confirmed that pre admission assessments are carried out before admission to the home, with one person saying, a full assessment was carried out and they were fully involved in the process and I feel that my relative is in a safe environment, I cannot praise this home enough. Six service users files were examined and they all contained detailed and informative pre admission assessments, demonstrating that peoples care needs are satisfactorily assessed before admission to the home. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good detailed care plans in place, helping to show that assessed care and health needs are being satisfactorily provided for. Evidence: Six service users care plans were examined and generally they contained detailed up to date information. The manager said,we are in the process of changing all of the care plans to be more person centered. The AQAA stated that there is a desire to have more staff trained in providing a person centered approach to care. It was apparent that the most recently completed care plans are more detailed, giving the carers and nurses the necessary guidance and information to provide a persons nursing and care needs. The care plans are reviewed on a monthly basis and more often if necessary. There were individual risk assessments in place, which again are regularly reviewed. This helps to demonstrate that people are actively encouraged and empowered to be as independent as possible. It was apparent that peoples health care needs are fully known and documented, Care Homes for Older People Page 13 of 28 Evidence: helping to ensure that individuals health needs will be appropriately provided. Some of the detailed information regarding health care needs included, pressure sore treatment and specific guidance for a person with diabetes. Other specific individual information, regarding health care needs was available including, nutritional and weights records, GP visits, hospital appointments, district nurse visits and records are maintained of all treatments and consultations with other health professionals. The storage, administering and recording of medicines was examined and found to be secure, thorough and well organised. The service users medication files all contained a photograph of the person,helping to avoid confusion and reduce the risk of medication errors. There was also detailed information regarding any potential side effects for all of the medicines being administered.The medication is dispensed into blister packs by the pharmacist. Regular medication audits are carried out by the pharmacist and a weekly audit is completed by the nurse in charge. A letter was observed requesting a medication review from a GP and it was commented, we always ask doctors for medication reviews. It was evident that there are thorough medication procedures in place. During the inspection visit it was evident that the staff were treating service users with respect and dignity. Some of the comments received from people were, He has really thrived in here. He said he feels like a person again the staff are grand and its a wonderful place and cannot praise it enough. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Leisure and recreational activities are actively promoted, helping to give the assurance that people are motivated and stimulated. Evidence: The Annual Quality Assurance Assessment, AQAA, states, we have continued to develop a varied activities programme, with more emphasis placed on individual needs as assessed in the care planning, making it more person centered. It was evident that the provision of meaningful and varied activities has improved, with a clear focus on a person centered approach. Documented evidence showed what activities are available and who had participated. A number of stimulating activities were observed during the inspection visits including, an aromatherapy session, reminiscence activity and a art and crafts activity. There were examples in the home of the things people have made or been involved in and some of the documented comments were, enjoyed making the bracelet had a sing along and a dance and enjoyed a glass of wine enjoyed the birthday party and had a visit from the memory clinic. There was also evidence of outings taking place, with many photographs placed around the home of day trips and outings to many places of interest including, Southport, Lytham St Annes and Fleetwood. It was commented, we had a lovely day out to Southport and on a nice Care Homes for Older People Page 15 of 28 Evidence: day one of the lads takes us out for a run in the bus. During the inspection visit some of the service users were going to see the Blackpool Illuminations in the homes mini bus. The manager said, families are encouraged to participate in the homes activities and they are invited along on outings. One visitor said, My relative has gained enormously in self respect, physical and mental well being. There was the opportunity to have brief conversations with the homes activities coordinator and with the visiting aromatherapist, who has already started to teach some of the staff about sensory awareness. It was evident that this training has been very well received. It was apparent that commitment and dedication is the foundation in delivering these services. There is an open house policy and procedure in place for visitors to the home and during the visits people were observed visiting their relatives. The service users and relatives spoken to all commented that everything is done, in order for people to retain relationships with family and friends. Some of the comments were, I can visit at any time, I am always made welcome and they let me know if I am needed and they provide a superb level of care, always ready to go the extra mile. Overall it was evident that visitors were made welcome to the home and it was observed that a good rapport existed between them and the staff on duty. It was evident that people are encouraged to individualise their own rooms, in order to help create a comfortable and homely environment. There was choice of menus available, which were seen to be varied and nutritious. The dining arrangements in the home meant that small numbers of people could sit down in the dining room and receive one to one assistance if needed. Some of the service users have their meals in their rooms, helping to demonstrate that mealtimes are well organised and flexible, with peoples choices and wishes being catered for. Some of the comments received regarding the meals were, The meals are lovely and its nice food here. It was also evident that finger snack food including fresh fruit is available throughout the day. There was the opportunity to have a discussion with one of the homes cooks and she was fully aware of the specific and individual dietary needs of the service users. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Thorough satisfactory policies and procedures regarding the protection of vulnerable people are in place, helping to to ensure that service users are protected from harm or abuse. Evidence: The home has a comprehensive complaints policy and procedure in place regarding the safeguarding and protection of vulnerable adults. One complaint had been received since the last inspection visit and it was apparent that this had been adequately dealt with and within the recognised timescale. The complaints procedure is displayed in the home, with information and leaflets regarding how to make a complaint available in the reception area. Some of the comments received were, I dont have any complaints over my brothers care and I dont have any concerns but I have every confidence that should there be some, the manager would listen sympathetically and address any concerns. All of the staff who were spoken to were clear about protection issues and were aware of their responsibilities and the procedures to follow in the event of any suspicion or alleged abuse. A whistle blowing policy was also in place and staff were familiar with this policy. The training matrix was examined and it was clear that the provision of safeguarding adults training is ongoing, helping to give the assurance that people are safeguarded and protected from abuse. Care Homes for Older People Page 17 of 28 Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environmental standards within the home are still in need of being improved, in order to make the home comfortable, pleasant, hygienic and safe for the people who live and work there. Evidence: A full tour of the premises was carried out and it was evident that the decor is still an ongoing problem. The previously agreed redecoration programme of decorating two bedrooms per month is not taking place, with thirty bedrooms still needing to be redecorated. It was observed that some of the service users beds were generally quite untidy, with some having poorly fitted sheets. The manager was made aware of this and an assurance was given that it would be addressed. There is also a general lack of routine maintenance being carried out, for example some shower curtains were observed hanging off, a window opener in a bedroom was broken, vegetation was growing in the gutters at the front of the building, items of furniture and boxes were inappropriately stored in peoples bedrooms, a bathroom, corridor and in the lounges, the window in the activity room had fallen out and was boarded up and not all of the bedroom doors had locks, which compromises peoples privacy and doesnt help to guarantee their safety. One person said that people often wander into her room and her TV remote control had disappeared. Some areas of the home had strong unpleasant odours including a ground floor bathroom, some of the bedrooms and a Care Homes for Older People Page 19 of 28 Evidence: bedroom corridor. It was suggested to the manager that the present carpeting in the areas identified are replaced with non absorbent flooring. This would make the floor covering easier to keep clean and remove the strong odours. Some of the electric lighting in the home is not adequate and would be problematic for people with visual impairments. The homes kitchen was observed to be clean and tidy,with stainless steel worktops and sufficient equipment and utensils to meet the dietary needs of the people living at Preston Glades. The dining room was observed to be nicely decorated clean and hygienic, with good quality floor covering. The laundry was very well equipped with sufficient washing and drying machines. It was observed to be well organised, neat and tidy. It was evident that some extensive work has been carried out to the outside grounds, with the gardens looking well maintained. The grounds have also been made more secure, helping to give the assurance that peoples safety is maintained. Although there has been some improvement to the outside grounds, it is apparent that more action needs to be taken to bring the interior of the home up to a satisfactory standard. The Annual Quality Assurance Assessment (AQAA) comments on the plans for improvement in the next twelve months including, ongoing redecoration programme, lighting to be improved, replacement of furniture and individualising residents bedrooms and involving people in the planning and purchase of items. A discussion took place with the homes manager following the tour of the premises and there was an awareness and an acknowledgment of the areas that need to addressed, with an assurance given that all of the issues identified will be addressed. This will help ensure that the home is more pleasant , hygienic, well maintained and a comfortable place to live and work in. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment process needs to be more thorough, to help ensure that as much as possible is done to ensure the protection of vulnerable people. Evidence: The staffing rotas were examined and they were found to be satisfactory, with adequate numbers of staff on duty at all times. However the home does experience a high turnover of staff. Seven staff files were examined and generally they were not very well organised and regarding the recruitment process, five of the files did not contain job descriptions, contracts or interview notes. The criminal records bureau (CRB) checks for staff had been carried out, however one persons CRB had a different name than what was on their file. Although a suitable explanation was given for this, it was acknowledged by the manager that recruitment procedures need to be more robust. This will help ensure that only suitable people are employed to care for vulnerable people. The training matrix was examined and it is evident that appropriate training is now regularly provided, including an increase in the National Vocational Qualification (NVQ), with 42 of staff either having achieved or are in the process of obtaining this care training award. Care Homes for Older People Page 21 of 28 Evidence: On the day of the inspection visit four members of staff were attending lifting and handling training. All of the required mandatory training is being provided, as part of the induction course. Some of the staff have recently received training from the aromatherapist, which incorporates the 5 a day senses, this an intuitive approach covering the senses of smell, touch, hearing, sight and taste. Feedback received is that service users and staff are benefiting from this training. The majority of the returned staff surveys demonstrated that sufficient and relevant training is being provided. One person wrote, whenever there is new paperwork,we are always informed and given training. It is evident that the training has increased and the provider is now being more proactive in this area. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and organised, helping to ensure as much as possible that people are safe and receive a good quality service. Evidence: The present manager of Preston Glades has been in post since June 2008. She has been a qualified nurse for over 27 years and she has been involved in managing care services for over 20 years. She has obtained the registered managers award (RMA) and is in the process of applying for management registration with the Commission for Social Care Inspection (CSCI). The manager has completed the dementia care mapping course, which is provided by Bradford University. It is apparent that she specialises in dementia care and this is evident in the positive developments that have taken place, regarding the provision of dementia care in the home since she took up her post. The manager commented, we really feel we are moving forward. It was evident that a number of positive changes have been made throughout the home since her arrival. Some of the comments from relatives regarding the manager were, The Care Homes for Older People Page 23 of 28 Evidence: manager is always prepared to go the extra mile the manager ensures there is a superb level of care and I like the new manager, she is pleasant and friendly. Some of the comments from service users and staff were, the manager is smashing the manager is fantastic there have been good improvements in such a short time and I think at the moment we are doing well and even better than last year when I first started. The homes policies and procedures were examined and they were up to date and of a good quality. Regular home reviews are carried out by the regional manager, which include an examination of the management of medicines, health and safety, home management, quality and clinical governance, staffing and environment. The most recent regional review documents were examined and they were observed to be honest and constructive, giving specific guidance, advice and outcomes for each area. This internal monitoring system helps give the assurance that the provider is positively aiming to promote a quality service. There have been previous recommendations made by the CSCI for the organisation to seriously consider having individual bank accounts to manage service users personal finances. It is evident that a corporate bank account is still in use. It is recommended that individual accounts are obtained for service users, this would help safeguard peoples finances. The health and safety policy was examined and it was found to be up to date, with relevant risk assessments in place, helping to promote the health, safety and independence of service users. The health and safety inspection certificates were examined and they were all in place and up to date including, an electricity inspection certificate, gas safety certificate, evidence of fire equipment checks, portable appliance checks (PAT), emergency lighting, lift examination and hoists inspection certificate. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 19 23 The environmental standards 30/11/2007 must be improved. (Previous timescales not adequately met). 2 19 23 (2) (d) The home must be kept clean and reasonably decorated. 30/11/2007 3 26 12 (1) (a) The registered person must ensure that the health and welfare of service users is promoted and adequately provided. 30/11/2007 4 30 18 (1) (a) (i) Ensure that NVQ in care is 30/11/2007 provided to existing staff and a consistent training programme is actively provided for new staff. Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 23 Suitable provision for storage should be provided for the purposes of the care home and for the service users. The storage of boxes and items of furniture are presently inappropriately stored, looking unsightly and potentially causing a health a safety hazard. 31/12/2008 2 19 23 The premises should be kept 31/01/2009 in a good state of repair externally and internally. The general maintenance needs to be improved. This will help create a safer and well-maintained home. 3 19 23 The provider should ensure that all parts of the care home are reasonably decorated. To help ensure that people live and work in a pleasant and comfortable home. 31/01/2009 Care Homes for Older People Page 26 of 28 4 26 13 Unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. The inadequate floor covering needs to be replaced with suitable flooring. This will help eliminate the strong odorous smells in some areas of the home. 31/01/2009 5 29 19 The provider shall not employ a person at the care home- unless the correct information needed for recruitment checks is obtained. This is to help ensure that vulnerable people are protected as much as possible. 31/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 28 The National Vocational Qualification (NVQ) training needs to be consistently provided, to help ensure that people working at the home have the necessary skills to provide a good level of care. Serious consideration should be given to ensure that service users have individual bank accounts to manage their personal allowances. 2 35 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!