Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 23/04/07 for Prince of Wales House

Also see our care home review for Prince of Wales House for more information

This inspection was carried out on 23rd April 2007.

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

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

What the care home does well

The management of Prince of Wales Drive recognise the importance of creating an environment where residents can access a range of social activities. The home has two activity organisers and offers a good range of activities for residents to enjoy. There is a dedicated craft room and the home has the use of a minibus. The organiser spoken with was enthusiastic and keen to develop the services on offer. Questionnaires were being sent to residents and relatives to explore what changes the service could make. The home is well maintained and kept clean with no unpleasant odours The organisation has good management systems in place to audit practice and to follow up areas where weaknesses have been identified.

What has improved since the last inspection?

There has been ongoing refurbishment of the home. The sitting room has been redecorated and the dining area was nicely laid and inviting. There is a large screen television, which residents could more easily view. Assessments have been undertaken on residents needs and other professionals involved where an issue has been identified. Reviews have been undertaken on all but three residents. A regular surgery by one of the GP has been organised at the home for nonurgent appointments and it is planned that residents will have a medication review as part of this process. The numbers of staff with NVQ qualifications have increased since the last inspection and the systems for staff induction are more comprehensive. Efforts have been made by the homes management to address the long running issue with hot water. The inspector was informed that the situation was much improved and staff were no longer having to transport jugs of hot water to residents rooms. The inspector was informed that a small number of residents have to let the tap run before the hot water comes through but these problems should be addressed when the next stage of work is undertaken to upgrade the system.

What the care home could do better:

Prince of Wales provides care to older people in "transition" but it was not clear how this impacts on their care and how staff promote resident independence. The home operates a system of computerised records and while there have been improvements in overall recording, problems still remain. The records have not always been individualised and as a result do not address the residents specific care needs. It was not possible to tell from the records whether prescribed medication, namely creams were being given. In the case of PRN medication it was not clear on what basis the decision was being made to give or not give the medication. As in all homes there are clear routines but it is recommended that these are reviewed to ensure that residents needs are prioritised. The home has recently updated its recruitment procedures and there is a new application form on which staff record their employment history. The home manager must ensure that this section is fully completed.

CARE HOMES FOR OLDER PEOPLE Prince of Wales House 18 Prince of Wales Drive Ipswich Suffolk IP2 8PY Lead Inspector Cecilia McKillop Key Unannounced Inspection 23rd April 2007 10:00 X10015.doc Version 1.40 Page 1 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 DS0000029240.V337173.R01.S.doc Version 5.2 Page 2 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. DS0000029240.V337173.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prince of Wales House Address 18 Prince of Wales Drive Ipswich Suffolk IP2 8PY Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01473 687129 01473 604869 The Partnership in Care Limited Mrs Moya Elizabeth Blake Care Home 43 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (33), of places Physical disability (1) DS0000029240.V337173.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Prince of Wales House is registered to accommodate one named person in the PD category. 3rd May 2006 Date of last inspection Brief Description of the Service: The home is situated in a residential area of Ipswich about three miles from the town centre. There is a parade of local shops nearby and regular buses into the town. The accommodation is on two floors with passenger lift access for people unable to manage stairs. On the ground floor is a special needs unit for ten residents with a diagnosis of dementia. There is a large enclosed garden that is accessible by separate doors from the special needs unit and the main house. The bedrooms are single occupancy with bathrooms and toilets placed throughout the home within easy reach. There is a large lounge and dining room on the ground floor and smaller quiet lounges available if preferred. The special needs unit has a lounge, dining area and kitchen, with access to an enclosed part of the garden. DS0000029240.V337173.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection, which was conducted over a six hour period. A tour of the home was undertaken and care practice observed. A number of residents were spoken with about life in the home. Three staff were interviewed, and a sample of records were examined. Questionnaires were given to a number of staff, relatives and professionals visiting the home. Mrs Blake the manager was available throughout the day and assisted with the inspection. What the service does well: What has improved since the last inspection? There has been ongoing refurbishment of the home. The sitting room has been redecorated and the dining area was nicely laid and inviting. There is a large screen television, which residents could more easily view. Assessments have been undertaken on residents needs and other professionals involved where an issue has been identified. Reviews have been undertaken on all but three residents. A regular surgery by one of the GP has been organised at the home for nonurgent appointments and it is planned that residents will have a medication review as part of this process. The numbers of staff with NVQ qualifications have increased since the last inspection and the systems for staff induction are more comprehensive. DS0000029240.V337173.R01.S.doc Version 5.2 Page 6 Efforts have been made by the homes management to address the long running issue with hot water. The inspector was informed that the situation was much improved and staff were no longer having to transport jugs of hot water to residents rooms. The inspector was informed that a small number of residents have to let the tap run before the hot water comes through but these problems should be addressed when the next stage of work is undertaken to upgrade the system. What they could do better: 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. The summary of this inspection report can be made available in other formats on request. DS0000029240.V337173.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection DS0000029240.V337173.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to have their needs assessed and to receive information about the home. However those on “transition” would benefit from more information about how their independence will be promoted. EVIDENCE: Standards 3 and 6 were met at the last key inspection of the home. Prospective residents are the subject of an assessment prior to moving into the home by the manager or other senior staff. Since the last inspection one resident had been admitted to the home outside the home’s category of registration. The manager had been on holiday and had recognised that an error had been made on her return. A subsequent variation to the home’s DS0000029240.V337173.R01.S.doc Version 5.2 Page 9 registration was made and since then the management arrangements have been strengthened. One of the residents who was interviewed said that they had been unable to visit the home prior to their admission as they had been in hospital but they had been provided with information about the home. The inspector was given a copy of the information, which is given to all prospective residents, which included the statement of purpose, service user guide and a copy of the complaint procedure. The manager also said that a copy of the last inspection report is also provided. The home provides care for older people, people with dementia and transitional care. It was not clear from the documentation or from discussion with residents how the home was working differently with residents who were in “transition” and how their independence was being promoted. DS0000029240.V337173.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to have their needs identified and their care regularly reviewed. However they cannot be assured that staff will always provide their care in a consistent way. EVIDENCE: The home has a computer recording system and all residents care plans and monitoring records are held in this way. Daily records and care plans of a sample of residents were examined as part of the inspection process. There were sections on nutrition screening and pressure care assessments. Some of the sections within the plans had been completed more fully than others. However they were not very individualised and some had been cut and pasted from other sections and the name in the text did not correspond with the name of the resident. DS0000029240.V337173.R01.S.doc Version 5.2 Page 11 The care plans were also not sufficiently detailed and key information was omitted. In one example there was nothing recorded about the provision of creams and ointments but it was clearly identified on the medication log that this was to be undertaken by care staff. It was not clear whether this was being undertaken or not. In two other examples the care records did not identify that a resident was being given medication on a PRN basis. It was unclear how staff were making a judgement as to whether or not this medication was to be given. The inspector was informed that efforts are being made by the home’s management to improve the recording systems and the quality assurance manager goes through a sample of the records on a monthly basis and identifies any shortfalls. These are then passed to staff to follow up. The home’s manager has been proactive with the local authority in organising reviews for residents and with the exception of a small number; residents have had a recent review, which has been documented. There was also evidence of the home seeking the advice and input from other health professionals such as the dietician and the physiotherapist. The manager reported that one of the local GPs had begun to hold a weekly surgery at the home to see residents and to undertake medication reviews. The manager hoped that this initiative would be taken up by other local GPs. The home has handovers at the beginning of each shift and the majority of staff attend. Staff interviewed reported that these were helpful and enabled staff to get a good picture of residents care needs and of any changes prior to coming on shift. Relatives who responded to the questionnaire reported that they were “always” kept up to date with important issues affecting their relative. None of the residents living at the home have retained responsibility for their own medication and there was discussion at the inspection about the promotion of independence and the “transitional” care offered at the home. A sample of Medication Administration Record (MAR) sheets was inspected and there were no gaps seen in the signature boxes. There was a checking system in place for the receipt of medication. The inspector was informed that the area manager had recently conducted audit of the medication and there are plans in place to provide further information on the MAR sheets on allergies and other key information. Staff were observed being attentive to residents and speaking them in a warm and respectful manner. One member of staff however said that she was unable to respond to a resident’s request for a drink because she was going on her DS0000029240.V337173.R01.S.doc Version 5.2 Page 12 “break”. Consideration should be given to reviewing some of the staff routines within the home to ensure that resident’s needs are prioritized. On the day of the inspection doors were closed when personal care was being provided. Staff induction addresses issues of privacy and respect. One resident said that she had a bath each week and liked to have the same carer to assist and this was generally accommodated. DS0000029240.V337173.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service can expect that they will be able to maintain contacts with family and friends and be offered a good range of interesting activities EVIDENCE: The service employs two activities co-ordinators who provide activities during the day and on one evening every other week. One of the coordinators was interviewed as part of the inspection and the inspectors was shown records documenting the activities that residents had participated in over the last month. The inspector was informed that one to one time is spent with some residents who do not want to participate in group activities. Some of the activities included crafts, reminiscence, church services and armchair exercise. DS0000029240.V337173.R01.S.doc Version 5.2 Page 14 On the morning of the inspection a number of residents were observed settling down to play bingo. One resident said that she liked playing as it got her out of her room and mixing with other people at the home. Another of the residents showed the inspector the dedicated craft room and some of the interesting projects, which were underway. The home shares a minibus with the groups other homes and trips out to local places of interest are organised. One of the residents spoke about her enjoyment of a recent trip to Felixstowe to get fish and chips. On the afternoon of the inspection residents were observed resting in their rooms and watching TV. Visitors came and went during the day and residents spoken with said that their relatives were always welcomed. The activity organiser said that the home was in the process of undertaking an activity profile with each resident and were due to send questionnaires to relatives asking them for information about what they think that the resident would enjoy. A visiting professional commented on the enthusiasm of the activity organiser and the efforts made to create opportunities for residents. Relatives who completed the questionnaire reported that the home meets the different needs of people. Two residents spoken with said that they had a key to their room and could come and go as he liked. Lockable drawers are also provided in the bedrooms. The dining tables were attractively set on the day of the inspection with tablecloths napkins and flowers. The lunch meal was served to residents in the dining room or in resident’s bedrooms. Residents had a choice of Shepard’s pie or salad. The Shepard’s pie looked wholesome but not very appealing although the portions were a good size and vegetables were available. Residents spoke positively about the food. Residents were observed being offered drinks throughout the day and had a jug of water in their room which they said was changed morning and night. DS0000029240.V337173.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service can expect that their complaints will be taken seriously and the home will take steps to protect them from abuse. EVIDENCE: The home has a complaint procedure, which is provided to residents on admission. The CSCI has received two complaints about the home since the last inspection, which has been passed to the Registered Person to investigate. One of these related to the hot water and the second to a range of care matters. The home’s records of complaints were examined as part of the inspection and there was evidence that complaints are documented and thoroughly investigated. Relatives who responded to the questionnaires said that they knew how to make a complaint. One relative said “comments no matter how trivial are acted on well”. There was evidence both from discussion with staff and an examination of the records that staff are given guidance on how to recognise and respond to abuse and neglect. There was evidence from discussion with the manager that poor practice challenged. The home has referred a number of concerns under the protection of vulnerable adults procedures. DS0000029240.V337173.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to live in clean and well maintained surroundings. EVIDENCE: The building was clean on the day of inspection and smelt fresh and. pleasant. There had been considerable redecoration since the last inspection with the hall and lounge having been painted and new carpet laid in different parts of the building. New door and self-closing devices were on the process of being fitted on residents on residents bedroom doors. A large flat screen TV has been provided in the lounge, which makes it easier for residents to view. DS0000029240.V337173.R01.S.doc Version 5.2 Page 17 Individual residents’ rooms were arranged to suit them with many personal items in use and on display. One resident said that they had a lovely large room and a number of others expressed satisfaction with their rooms. The corridors and stairs had grab rails and banisters and there was a passenger lift to allow people with poor mobility access the first floor. Since the last inspection work has been undertaken to address the issues with the hot water. The manager reported that this has brought significant improvements but a small number of residents had to run the tap for a short period before their hot water comes through. The manager said that further works are planned. Liquid soap, paper towels, gloves and aprons were available through out the home. Staff interviewed confirmed that they were given guidance on infection control. The laundry was clean and tidy on the day of the inspection. DS0000029240.V337173.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to be cared for by adequate numbers of staff who have been given training for their role. Staff recruitment is generally sound but the homes own procedures must be followed to ensure that residents are safeguarded. EVIDENCE: On the morning of the inspection there was 1 senior carer and 6 carers on duty. In addition there was one member of staff supernumerary as she was in the process of induction. In the afternoon there was 1 senior carer and 4 carers on duty. There were two activity coordinators on duty in the morning and one in the afternoon. The levels of staff were observed to be satisfactory, and staff were observed responding appropriately to call bells and requests for assistance. Residents interviewed reported that there was generally enough staff on duty but sometimes there were problems when staff went off sick. The manager said that there were some occasions when staff went off sick with very little notice and it is difficult to cover these shifts. On the afternoon of the DS0000029240.V337173.R01.S.doc Version 5.2 Page 19 inspection staff were trying to obtain cover for the night shift because of staff sickness. Three staff recruitment files were seen and were found to be well organised and neatly subdivided. They all contained evidence of an enhanced Criminal Records Bureau (CRB) disclosure/ POVA being sought and obtained prior to the employee commencing in the post. There was evidence of two references being received. The home has recently introduced a new application form, which provides greater space for staff to record their employment history. In one of the files examined a new application form had been used but the applicant had not fully completed the section on employment history. The manager’s attention was drawn to the requirement for all staff to have a full employment history. A new member of staff had started work at the home shortly before the inspection and was shadowing more experienced members of staff. Two staff were interviewed who had been appointed over the last year and they confirmed that in addition to shadowing staff they had received induction training in a range of areas including the care of older people, abuse, manual handling and infection control. The inspector was shown a induction booklet entitled “induction training programme” which provides staff with guidance on the caring task, and procedures. At the end of each section there are questions to test member of staff understanding and competency. A number of the completed booklets were examined and it was positive to note that one of the managers had been through the booklet and identified areas for clarification/ follow up before proceeding. There is a staff handbook and staff are expected sign to confirm that they have read the procedures. The inspector was informed that over 50 of staff had completed NVQ3 and a number of additional staff were due to enrol. On the day of the inspection the deputy manager was in the process of putting staff records on a spreadsheet so that individual gaps could be easily identified. This will be followed up at the next inspection. DS0000029240.V337173.R01.S.doc Version 5.2 Page 20 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service can expect the home is being well administered and the management processes are being strengthened. EVIDENCE: The manager is an experienced registered manager who is familiar with the conditions associated with old age. Staff interviewed reported that the manager was accessible and approachable. DS0000029240.V337173.R01.S.doc Version 5.2 Page 21 The home has been without a deputy manager for some time but a new deputy manager had taken up post in the weeks preceding the inspection. The records and discussions with staff evidenced that staff receive regular supervision. There was a senior staff meeting on the day of the inspection and the inspector was informed that both senior and care staff meet on a monthly basis. The last resident meeting was held on the 24th of January 2007 and 17 residents attended. These meetings are minuted and the inspector was informed that another meeting was overdue. The inspector was informed that a resident satisfaction survey was last undertaken in September 2006 and the results were placed at key locations throughout the home. A new survey was also due to be given out to residents. The manager confirmed that she did not act as an agent or an appointee for any of the residents. The records relating to residents finances were not examined on this occasion however residents confirmed that they were provided with lockable storage and that receipts were obtained for any item purchased on their behalf by staff. Water temperatures were within the recommended levels on the day of the inspection. There was also evidence of regular testing of portable electrical items. The last fire drill was on the 230307 and there was documentary evidence of regular tests of fire safety equipment. The area manager undertakes monthly visits to the home and completes a check on the home compliance with each of the national minimum standards. The manager completes an action plan identifying actions to be taken in response to the findings. The company has also a Quality Assurance Manager who is due to undertake an audit of the home on the day following the inspection. DS0000029240.V337173.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000029240.V337173.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 15 (1) Requirement All people using the service must have a detailed care plan. This will ensure that they receive person centred support that meets their needs. Staff giving medication on a PRN basis to people living in the home must be clear on the basis on which it should be given. This will ensure that people will receive medication when they need it. Where prescribed creams and lotions are administered to people it must be clearly recorded. This will ensure that people receive the correct levels of medication The manager must ensure that there is a full employment history for all newly appointed staff. This will ensure that vulnerable people are better protected Timescale for action 30/06/07 2. OP9 13 (2) 30/06/07 3. OP9 13 (2) 30/06/07 4. OP29 19 30/06/07 DS0000029240.V337173.R01.S.doc Version 5.2 Page 24 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 OP4 OP15 OP9 Good Practice Recommendations People using the service should be clear about what is meant by “transition” and how their independence will be promoted People using the service should be able to access drinks at a time that is convenient to them. Some of the people using the service should be able to manage their own medication within an appropriate risk framework DS0000029240.V337173.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 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 © 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 DS0000029240.V337173.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!