Inspection on 29/10/07 for Quarry Bank

This inspection was carried out on 29th October 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.

Other inspections for this house

Quarry Bank 17/10/08

Quarry Bank 22/01/07

Quarry Bank 30/01/06

Quarry Bank 07/09/05

Quarry Bank 14/02/05

Quarry Bank 06/09/04

Quarry Bank 09/03/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Quarry Bank Woodfield Lane Hessle East Yorkshire HU13 0ES Lead Inspector Pam Dimishky Key Unannounced Inspection 29th October 2007 09:00 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 Quarry Bank DS0000019712.V348364.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. Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Quarry Bank Address Woodfield Lane Hessle East Yorkshire HU13 0ES 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) 01482 648803 F/P01482 648803 Mr Anthony Mould Paul Nicholas Mould Miss Donna Marie Hutchinson Care Home 23 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (23), Old age, not falling within any other of places category (23) Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. Service users in category DE to be 60 to 65 years of age. Date of last inspection 22nd January 2007 Brief Description of the Service: Quarry Bank is a privately owned care home for older people; a ‘sister’ home is situated nearby. The home is accommodated in a large, old, detached house that is located in a residential area of Hessle. It accommodates both male and female residents over the age of 65, including residents with dementia, and up to three residents aged 60 to 65 years with dementia. The accommodation includes two lounges, a dining room and a conservatory; there are five single rooms and nine shared rooms. All areas of the home are accessible to residents via the use of a passenger lift, portable chair lift and ramps. There is a pleasant garden with greenhouse and seating area, which is also accessible to residents. A large ramp enables wheelchair access to the front entrance of the home and a small car park is also located to the front of the building. The home is close to a bus route and the railway station and local amenities that include shops, pubs, cafes, hairdresser banks and a post office. The home’s current scale of charges range from £334.80 to £402. Additional charges include hairdressing (£5.50 - £13.00), chiropody (£10.00), papers (various prices), toiletries (various prices) and trips out (various prices). Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home on 22nd January 2007 including information gathered during a site visit to the home What the service does well: Although none of the residents particularly wished to speak to the inspector, through observation and casual conversations it was evident that the residents were happy living in the home and thought well of the staff. None of the comment cards sent to the home were returned before the site visit, but nine were completed at that time and generally included positive remarks e.g. “The girls do well and I am grateful for everything they do for me”, “I have never had to make a complaint”, “There is always a carer around and they are always within shouting distance”. Most of the residents said they enjoyed the food and it is evident choices and special requests are available and residents can choose where they eat; one resident had asked for fried rice and this had been provided. Lunch was observed to be nutritious, plentiful, attractively presented and apparently enjoyed by the residents. Staff interviewed said “it feels like home and all the food is freshly home cooked, not processed, and with fresh vegetables”. From observation it was evident the manager and the staff had a very good rapport with the residents creating a relaxed and pleasant atmosphere. From discussion with the manager, staff and residents visitors to the home are made welcome and can be seen in private. One relative commented in the completed survey form “my mother doesn’t do anything for herself but I can visit at any time I want”. Relatives and friends are invited to join in any special events and trips out; a Halloween lunch at a local pub has been arranged and a number of residents are being accompanied by relatives. A monthly activities programme, including a visiting entertainer every month, is displayed at the entrance to the lounge and provides residents with something to occupy them every day if they choose. At the time of this visit a quiz was held both morning and afternoon with a number of residents participating; others were watching a film on television, reading papers or just relaxing in the quiet lounge. Comments received from relatives completing survey forms included “I was immediately notified when my husband was taken to hospital, offered a lift and the manageress stayed until 3.00 am with myself and daughter”, “the food is excellent – he gets plenty of hugs and attention which he loves”, “the manager has always been willing to discuss my relatives problems either by phone or in interview”, “the carers are very patient dealing with sometimes very confused people”. Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 6 The home has a good training programme for staff and the manager has the necessary experience and qualifications to do the job; both she and the provider have the Registered Managers Award. The home has an on going maintenance programme and was clean and generally free from offensive odours at the time of this visit. What has improved since the last inspection? 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. Quarry Bank DS0000019712.V348364.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 Quarry Bank DS0000019712.V348364.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 and 6 People who use the service experience good quality outcomes in this area. The assessment procedure includes a proper assessment being made of residents moving into the home to ensure the home can meet their needs. However, whilst confirmation is given verbally, prospective residents have not been given assurance in writing the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager visits prospective residents either in their own home or hospital to assess whether the home can meet their needs, however, whilst confirmation is given verbally at that time that the home can meet the assessed needs, written confirmation, as required by legislation, has not been made. Evidence was seen in three new residents’ case files of a copy this assessment and in addition, for residents placed through the local authority, a copy of care management’s assessment and care plan. The home’s assessment is very detailed and covers all the areas listed in the care homes national minimum standards. Of the three case records examined only one Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 9 contract was seen to be in place, although the manager assured the inspector all residents have a contract or statement of the terms and conditions of the home she agreed to check one was in place for all residents. All of the nine resident comment cards returned stated they had a contract. The home is not registered for people requiring intermediate care. Quarry Bank DS0000019712.V348364.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 and 10 People who use the service experience good quality outcomes in this area. Residents’ individual health, personal, and social care needs are identified and met by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three case records were examined and seen to include a detailed needs assessment, from which the care plan is developed, and for residents placed through the local authority, a care management assessment and care plan; good daily notes made of the care provided evidence the care plan is being met and reviewed regularly. Key workers take ownership of their case records and are responsible for updating and changing care plans. However, one of the records examined had no key worker entries recorded since June. Only one care plan was noted to have been signed by the resident indicating their agreement to it, but the manager stated the care plan is always developed in conjunction with the resident and/or the relatives. All of the five comment Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 11 cards returned by relatives stated the care home always “gives the support and care expected or agreed”. The home has arrangements in place to access health care support and these include general practitioner, community psychiatric nurses, district nurses, clinical psychologists, optician, dentist, chiropodist. For one resident who has special feeding equipment, the home receives support from the community dietician and the company who supplied the equipment has also given the staff training in its use. The home has two special mattresses to provide pressure relief when needed but at the time of this visit the manager stated none of the residents have pressure sores. Medications and the administration records for three residents were checked and found to be in order. The home uses a monitored dosage system (MDS) and the pharmacist supplying the medications to the home has not visited since July 2004 to check the medications, medication records and storage despite the manager making numerous requests. The manager was advised to continue her efforts to persuade the pharmacy to meet its contractual obligations. The manager stated the Primary Care Trust pharmacist has visited recently to check and review individual prescriptions and some residents medication has been changed. None of the current residents look after their own medication. Staff interviewed were able to demonstrate how they respect residents’ privacy and dignity particularly when providing personal care. The manager stated although residents can have their own telephone installed in their room, none of the current residents have their own telephone, but the home’s telephone is available and can be used in private; one resident spoke of receiving regular calls from a relative in Canada. Shared rooms were all noted to have a screen available to ensure personal care is given in privacy. Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 People who use the service experience good quality outcomes in this area. Daily life and social activities in the home meet the expectations and preferences of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home identifies individual interests and religious needs and these are recorded in the care plan. Routines of daily living e.g. getting up and going to bed, bathing, food and mealtimes, participation in recreational activities etc, are according to residents individual choice and this was evident from observation and discussion with residents and staff. A monthly programme of activities, compiled by a member of the care staff, is displayed in the entrance hall for residents and visitors information. On the day of this visit quizzes were taking place both morning and afternoon and although the programme does not cover every day staff and residents confirmed some activity takes place every day. The programme for October was seen to include two church services, bingo, reminiscence, a film afternoon a games and music afternoon and a visit to a local pub for a Halloween party lunch. Although no visitors were seen during the course of this visit, residents said their relatives and Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 13 friends were always made welcome and for the forthcoming Halloween party lunch a number of relatives will also join in the event. The manager said visitors are made welcome at any reasonable time and are invited to social events. Plans for Christmas are already taking place with a carol concert booked and Christmas lunch and sing-a-long at a local pub. Some residents have expressed an interest in going to the New Theatre and the manager stated plans are being made to see the musical Cats. The majority of residents completing comment cards stated there are always/usually activities arranged by the home to participate in. Two weeks menus were examined and were seen to offer a choice for all meals, breakfast, lunch and tea. Daily case file records indicated some residents had forgotten they had eaten and were provided with an additional small snack. Residents commented they enjoyed their food and this was backed up by the responses in the comment cards. At the time of this visit the daily menu for lunch was displayed in the dining room and residents were observed having lunch of beef casserole and dumplings with fresh vegetables and potatoes, followed by chocolate sponge and custard or sugar free alternative; one resident had made a special request for fried rice and this was provided. Food was plentiful, nicely presented and residents appeared to enjoy their meal. The cook said all food is home cooked with fresh vegetables and processed food is not used. Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience adequate quality outcomes in this area. The home has a satisfactory system for making complaints, appropriate safeguarding adults policies and procedures and programme for staff training to ensure residents are protected from abuse. However, until all staff have received the planned safeguarding adults awareness training the home cannot be sure residents are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a policy and procedure for complaints and all residents and or relatives have been given a copy, which is included in the service user guide. Completed resident comment surveys indicate they know how to make a complaint and who to speak to if they are not happy. Evidence was seen in a folder kept by the home, that where concerns and complaints have been received statements have been obtained from staff and areas in which the home has been negligent have been discussed at staff meetings and recorded. Letters have been sent to complainants detailing the outcome of the investigation. It is evident therefore, that the home takes seriously any concerns or complaints, investigates and puts in place any action necessary for a satisfactory outcome. However, complaints and concerns are not recorded in a format which is easy to maintain and inspect. Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 15 Two members of staff interviewed said they had not had safeguarding adults awareness training and the manager confirmed arrangements are in hand for training in the very near future for recent employees and update existing staff. Since the last inspection, the home has made three safeguarding referrals to Social Services for investigation. Two of these were not being followed up following the investigation and one is still being investigated. (The Commission was later informed by Social Services that no further action is being taken for the third referral) Quarry Bank DS0000019712.V348364.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 and 26 People who use the service experience good quality outcomes in this area. The standard of the environment within this home is generally good providing residents with an attractive, clean and homely place to live. However, the call alarm system does not extend to communal areas of the home, therefore residents independence is not maximised. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The location and layout of the home is suitable for its stated purpose. There is an ongoing refurbishment and redecoration programme and since the last inspection one bedroom has been redecorated, chairs in the quiet lounge have been replaced, a new fire alarm system has been installed due to a flood on the upper floor, a skylight has been blocked in a bedroom to ensure residents sleep is not interrupted by the light, and a new laundry was being installed and expected to be commissioned the week following this visit. A large patio area Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 17 has been created in the garden and was useful for the barbecues held during the summer months. The provider confirmed requirements made by the Fire Brigade are to be completed within the timescale, i.e. mid November 2007. An outstanding requirement for the call system to be extended to communal areas remains outstanding, but the provider confirmed this work will be installed during the redecorating scheduled over the next two years. Taps in some rooms have had the water turned off due to residents flooding the rooms but the water is easily turned back on when needed, by staff turning a screw. One resident has been assessed for bed rails, however, the risk assessment needs updating in line with recent guidance and the manager agreed this would take place immediately. Staff interviewed confirmed the home has sufficient equipment to meet residents assessed needs, e.g. mobile hoist, bath hoist and two Nimbus mattresses. The water temperature was checked in one bathroom and was below 43ºC which is the top limit for safe bathing. The Environmental Health Officer had inspected the kitchen during August and it was noted one requirement had been made in the inspection report. The manager stated she is now monitoring the kitchen to ensure work surfaces and refrigerators are clean. Refrigerator and freezer temperatures are being recorded daily and Safer Food Better Business Records are also being completed daily. All bedrooms are comfortably furnished and personalised according to choice with the residents’ belongings and memorabilia. Despite the best efforts of staff, two bedrooms had an unpleasant odour at the time of this inspection. Quarry Bank DS0000019712.V348364.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, 29 and 30 People who use the service experience good quality outcomes in this area. Staff are well trained and competent, and deployed in such numbers to meet the needs of the residents at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff duty rotas were examined and indicated three members of staff on duty on the early and late shifts and two at night; these numbers are adequate to meet the needs of the twenty-two residents living in the home at the present time. Staff interviewed confirmed the staffing levels are fine for most of the time, but occasionally during busy periods an additional per of hands would help and this was reflected by comments in two staff surveys. One resident comment survey said “ There is always staff around when needed” but two said staff are available only “sometimes”. At the time of this inspection staff were observed spending considerable time with residents in providing activities both morning and afternoon, and again over the lunch period. The atmosphere at all times during this visit appeared relaxed and unhurried. Only one male carer (who predominately works nights) is employed by the home and the provider agreed to make clear in the home’s statement of purpose that it may not always be possible for residents to have a choice of which gender provides care. Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 19 The records for five new care staff employed since the last inspection were examined. Three of these had no evidence of criminal records bureau (CRB) or POVA list checks but the manager and provider stated they had verbal confirmation the staff members were not on the PoVA list and that until the results of the CRB check are known, the staff members only work under supervision. The home has a good training programme for staff and at the time of this visit the manager stated she is looking to contracting with a company who will monitor staff training needs and ensure they are kept up to date. Twelve of the nineteen staff have a NVQ level II or above and a further two are working towards NVQ level II. Staff interviewed were qualified in mandatory subjects and also specialist subjects, including first aid, moving and handling, fire safety. Quarry Bank DS0000019712.V348364.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 and 38 People who use the service experience adequate quality outcomes in this area. The home is being managed well and there is leadership, guidance and direction to staff to ensure residents receive consistent quality care; the health safety and welfare of residents and staff are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has worked at Quarry Bank since 2001 and is competent and experienced to run the home. She has NVQ levels II, III and IV in care, the D32/33 NVQ assessors award and both she and the provider have the Registered Managers Award. The home has the Investors in People award and parts one and two of the local authority quality development scheme, which is subject to an annual performance review. Staff interviewed confirmed they Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 21 receive supervision every month. Residents meetings and staff meetings are held every two to three months and informal chats are held with residents daily. Staff interviewed talked about choices residents are given and explained how a cooked breakfast had been requested but was then found to be too much so cooked breakfast is now an alternative at weekends indicating that residents views are listened to and acted upon. The home does not become involved in residents financial affairs but small amounts of money is held by the home on behalf of some of the residents; three residents monies were checked and found to balance with the records and receipts are kept for all expenditures. The manager acts as appointee to two residents. Fire equipment was seen to have been checked January 2007, the landlord’s gas safety certificate is dated 11/1/07, the passenger lift had a thorough examination certificate dated 21/5/07, hoists were checked 20/6/07 and electrical appliances were checked 21/7/07. Accident books were checked and seen to be adequately recorded. However, a large number of incidents had been recorded, were residents had caused injury to other residents and had not been notified to the Commission as required by legislation. The manager stated she will forward notifications dating back to the last inspection and provide written evidence the issues have also been discussed with the local authority with regard to making safeguarding referrals. Following a review of medication, recent entries do not include such incidents taking place. Quarry Bank DS0000019712.V348364.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X x 2 Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 23 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. 2 Standard OP22 OP16 Regulation 23 14 Requirement The communal areas must all have a call alarm facility. (Outstanding requirement) The registered person must confirm in writing to prospective residents that having regard to the assessment the home can meet their assessed needs. A record must be kept of all complaints made by residents or representatives or relatives or persons working at the care home, and the action taken by the registered person in respect of any such complaint. The registered person must give notice to the Commission without delay any event in the care home which adversely affects the well-being or safety of any service user. Any notification which is given orally must be confirmed in writing. Notifications not made since the date of the last inspection must now be forwarded to the Commission. Timescale for action 31/12/08 29/10/07 3 OP16 17 Sch 4 29/10/07 4 OP38 37 30/11/07 Quarry Bank DS0000019712.V348364.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. Refer to Standard OP9 Good Practice Recommendations The manager must continue her efforts to arrange with the supplying pharmacist to make checks in the home of medication, the records and storage and for the pharmacist to provide a report. The manager should check all residents have a contract/statement of terms and conditions with the home. The manager should ensure care plans have evidence they are reviewed regularly. 2. 3. OP2 OP7 Quarry Bank DS0000019712.V348364.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Quarry Bank DS0000019712.V348364.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!