Inspection on 04/07/07 for Radcliffe Gardens Nursing Home

This inspection was carried out on 4th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Radcliffe Gardens Nursing Home 08/08/06

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Radcliffe Gardens Nursing Home 11 Radcliffe Gardens Pudsey Leeds Yorkshire LS28 8BG Lead Inspector Sean Cassidy Unannounced Inspection 4th July 2007 09:30 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 Radcliffe Gardens Nursing Home DS0000067049.V344230.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. Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Radcliffe Gardens Nursing Home Address 11 Radcliffe Gardens Pudsey Leeds Yorkshire LS28 8BG 0113 256 4484 0113 257 8376 radcliffegardens@btconnect.com 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) Fezdene Limited Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (1), Terminally ill over of places 65 years of age (20) Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2006 Brief Description of the Service: Radcliffe Gardens is an adapted detached property providing accommodation for twenty older service users. Nursing and residential care can be provided. Some bedrooms have a WC ensuite facility. There are a number of shared rooms and a small number of bedrooms are located on the first floor. This floor is accessed by a passenger lift. A non-smoking policy operates in the building. The home is surrounded by well-kept gardens. There is a pleasant easily accessible patio area for service users to sit and enjoy the good weather. Also available is a car park to the front of the property. The home is located in the centre of Pudsey adjacent to Pudsey Park. The local church, shops, library, bank and post office are near by. The fees paid by or on behalf of residents range from £553 to £558.50. Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence in this report has included: • • A review of the information held on the home’s file since the last inspection. Information obtained from service users, relatives and staff. An Unannounced visit to the home was conducted by one inspector and lasted one day. The majority of this time was spent speaking to residents, management, staff and relatives. The visit included a tour of the premises. A number of documents were examined which included care files, training files, recruitment files and health and safety details. The information required from the provider in the form of the Annual Quality Assurance Assessment was not provided prior to the inspection. The report only contains existing information on file and information gathered on the day of the site visit. What the service does well: The home provides a welcoming, homely environment that is recognised by the people who live there and also visitors. The staff communicate very well with the people who live there. The people who live in the home say the staff are very friendly, happy and helpful. The home offers people a range of activities to keep them entertained. The home is kept clean and tidy. Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Improvement is needed with the provision of care planning and risk assessment. People with identified care needs must have care plans in place to assist the staff with providing for them. Risk assessments must be carried out in areas such as continence, pressure area care, nutrition and falls. This will assist staff with minimising the risks in these areas. The care documentation must be reviewed regularly and altered to reflect any changes in care provision. The people who live in the home must be involved with developing their care documentation. This will help to empower them with the decision making process. Their representatives should be involved if they are unable to agree to this process themselves. The process used for the administration of controlled drugs must be reviewed and improved to make sure it is in line with professional and legal requirements. The staff must ensure that personal care is provided in a manner that respects people’s privacy and dignity. The staffing levels of the home need to be reviewed to ensure the needs of the people living there are being appropriately met. The manager must ensure all new employees have been properly recruited following the internal recruitment policy. This will help protect the people living in the home. All new staff must receive an induction to assist them with fulfilling the responsibilities of their role. Staff must receive the correct mandatory training and also training relevant to the care needs of the people they care for. Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 7 Improved quality assurance systems must be developed and implemented. This will assist the manager with maintaining and improving the quality of care provided in the home. Staff must receive regular supervision to help support them in their roles. Improvement is needed with the overall standard of health and safety within the home. This will help protect the people who live there and also the staff. 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. Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are provided with enough information to make their choice of moving into the home. EVIDENCE: People spoken to confirmed that they were given the right amount of information to make a choice of moving into the home. Opportunities were given to come and visit before making a decision. The Statement of Purpose does not contain relevant up to date information. The care files that were case tracked showed all residents were assessed prior to moving into the home. Radcliffe Gardens Nursing Home DS0000067049.V344230.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Not all the health and personal care needs of the people living in the home are being met. EVIDENCE: Each person case tracked had a care file that contained various documents to assist the carers with providing the care to each individual. The evidence seen showed that care plans and risk assessments were not consistently developed when a care need or risk was identified. For example, one recent admission had clear identified needs in areas such as continence, pressure areas, nutrition and pain but did not have any detailed care plans or risk assessments to help staff deliver the appropriate care. This is poor practice. The care plans and risk assessments were not reviewed regularly and there were gaps of up to four months where these documents had not been reviewed. One person was identified as having lost a significant amount of Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 11 weight but there was nothing in the records to provide evidence that staff acted upon this. This omission placed him at risk. Evidence was also found to show that people living in the home, or their representatives, are not consistently involved with the development of their care documentation and therefore are not empowered to have a say with the care provided. The manager agreed that there is a significant number of people within the home that have secondary care needs in dementia. It is positive to see that training is being provided to some staff to help meet the dementia needs of the people living in the home. The care plans do not reflect a person centred care approach but are very clinical in style as they are written within the guidelines of the Roper, Logan and Tierney nursing care model. The person centred care approach would assist the staff with providing a more holistic care approach and provide a more in depth picture of the person receiving the care. Medication charts were seen were well kept. A random check of the Controlled Drugs kept in the home highlighted an error with the recording and administration system. Only one person signs for controlled drugs. The records showed that a controlled drug error had been made four days previous to this site visit and it had not been picked up by any of the qualified staff. This is poor practice. The error was later identified and corrected. The CSCI pharmacist has agreed to visit the home and review the systems for the recording and administration of drugs in the home. The staff were observed providing care over the course of the day. They did this in a very caring and attentive manner. They interacted well with the people who lived there and were very respectful. Communication was good. Staff were observed getting down to the eye level of the individual they were talking to. They spoke clearly and slowly, especially with those that had communication problems. This is good practice. People spoken to spoke very highly of the staff group caring for them. Some comments were, “They always help me when I need them. They treat me very well.” “They are kind and helpful. They are a great laugh and help me get through the day.” There were a number of privacy/dignity issues identified during the visit that were discussed with the manager. The home has obvious problems with space and storage and this has had an impact on care provision. Some bedrooms are being used to store wheelchairs without obtaining the consent of the people who live in the rooms. Personal care was observed being provided in the entrance hall and also in one of the hallways. A visiting chiropodist had to Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 12 provide her service in a cluttered bathroom. These issues were highlighted to the manager who gave assurances that this practice would be reviewed. Radcliffe Gardens Nursing Home DS0000067049.V344230.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home meets the social, recreational and religious needs of the people who live there. EVIDENCE: The people spoken to said that they are provided with a good standard of activity within the home. They gave examples of the activities, which they were involved in and talked about planned raffles and parties. Some said they had the opportunity to go out with their families on a regular basis. There are attractive gardens at the front and side of the house that are accessed in the good weather. The manager was encouraged to get staff to develop the daily records of care so that they reflect the activities which people are involved with over the course of each day. People said the activities coordinators are quite busy and do a good job. They said they had a choice to get involved with activities if they wished and there was no pressure placed on them. The lounge area is divided up so that those that wish to watch the television can do so and those that don’t can sit in a separate part of the room. Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 14 People said they had a choice whether to get involved with the religious services that the home arranges on their behalf. The mealtime was observed to be a social occasion. People spoken to gave positive feedback about the quality of the meals served in the home. They said they were given a choice and the cook was very good. “She will make you a separate meal if you don’t like what is on offer.” The cook has a planned weekly menu, which is recorded in menus displayed around the dining area. People said they were offered regular drinks and they were also provided with snacks in between meals. Radcliffe Gardens Nursing Home DS0000067049.V344230.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home feel well protected. EVIDENCE: The home does have a complaints procedure and policy in place. Those spoken to said that they knew what to do if they did had a complaint. They expressed confidence in the staff to sort out any issues they might have. There have been no complaints made since the last inspection. The new manager proposes to review the complaints procedure to ensure that when a concern is raised this will be looked into in the same way as a complaint. This is good practice The home does have a safeguarding adults policy and procedure in place. Not all staff have received training in preventing and detecting adult abuse but all the staff spoken to during the inspection showed a good understanding and awareness of this issue. The people living in the home said that they felt very safe and comfortable in the home and that staff were very respectful. Radcliffe Gardens Nursing Home DS0000067049.V344230.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is clean, tidy and well maintained. EVIDENCE: The physical layout of this home is restrictive. The main lounge/dining room is a large L-shaped area that can appear institutionalised with chairs set against the walls. An attempt to divide the lounge into two areas has been made. In addition a dresser has been used to partition the dining room from the lounge. Storage space is also very restrictive. Bathrooms and bedrooms are used to store equipment that should be stored elsewhere. One bathroom seen was a risk hazard to any user as trolleys, hoists and boxes of cleaning materials were stored in it. The manager has said that there are plans in place to extend the premises and that this problem will be alleviated. However, the Statement of Purpose should inform prospective residents that space is restricted within the home. Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 17 Although the issues above are important, the people that were spoken to were happy and contented with the environment. They said it was clean and tidy and it was nicely decorated. There is a maintenance man who updates the environment at regular intervals. This home provides care for nursing residents who are physically very dependent. There is level access into the home via a ramp to the main door. There is nearby parking for visitors. The garden is easily accessible. There is a passenger lift. The bathrooms and WC’s are fitted with hoists, handgrips and high seats. There are a number of different types of mobile hoists to use if necessary. A wheel chair friendly shower is available on the ground floor. All these aids help to meet the diverse needs of physically dependent people. The standard of cleanliness was observed to be good. Domestic staff showed a good awareness of infection control measures and also COSSH information. Radcliffe Gardens Nursing Home DS0000067049.V344230.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home are not receiving care from a well-trained and wellrecruited staff group. EVIDENCE: The home does have a monthly staff rota in place. The numbers on duty at the time of the inspection were in line with those on the rota. The staff were observed carrying out their duties during the day. They seemed very busy carrying out the physical elements of their role such as assisting people with meals, to their bedrooms and also the toilet. There appeared to be very little time actually spent sitting down and involving themselves in a structured way with the people who lived there. Some staff spoken to expressed concerns at the levels of staff on duty. They felt there was not enough on duty to make sure that they could fulfil their role to the full. The people who lived there also made reference to how busy the staff were. Comments made were, “We are always rushing. We don’t get enough time to actually sit down and have a good chat to the residents.” “Staff are always busy. They try their best to spend time with you but they always get called away.” Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 19 Other indicators that suggest the staffing levels should be reviewed include, the documentation not being completed appropriately, lack of staff training, lack of staff supervision and other management issues that have been overlooked. The home has achieved the recommendation that at least 50 of staff have been trained to NVQ Level 2 or above. Recruitment procedures have not been appropriately followed as people have been employed without having the required information obtained before commencing work. Two people started work before the Criminal Record bureau checks had been obtained. The home does have an induction process and there is an induction booklet developed in line with the Skills for Care Induction Standards. The two most recent staff members have not received an induction. The manager agreed that the standard of the training programme is in need of review and improvement. The home provides care for people who are at the end stages of their life, but, the standard of training given to staff in this area is minimal. Only two qualified nurses have received specialist training in this area. Staff said they have not received training in areas of care need relevant to people living in the home. It was recommended that training in areas such as continence care, pressure area care, nutritional care and diabetes care be considered for staff training. Mandatory training is another area where staff have not been trained effectively. Training in manual handling, fire training, infection control and food hygiene have not been provided to expected levels. Radcliffe Gardens Nursing Home DS0000067049.V344230.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management processes and systems used in the home do not properly protect the people who live there or the staff that work there. EVIDENCE: The home has been without a registered manager for nearly three months and the evidence found during the course of this inspection reflects this. The new manager has only been in post for one week before this unannounced key inspection took place. The manager is a registered nurse with many years experience in different nursing fields. She has also held a management position outside of nursing and obtained a management qualification. She has been quick to identify some of the areas that need improvement and has developed strategies to assist her manage this process. She has given firm Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 21 assurances that given the correct period of time, significant improvement will be made with the standard of care provided in the home. It should be noted that the care staff working in the home have been working under very difficult circumstances and the evidence seen shows that they are a genuine caring group of carers that try hard to provide good standard of personal care. They recognise that some areas have been neglected and they are also committed to improvement. The home does not manage any monies for any of the people living there. There are two people that are under power of attorney. The home purchases items that they need and then bill the appropriate people. There is no identified system in place that assures the quality of care for people living in the home. This is an area that the manager identifies as high importance and is keen to improve in the coming months. The manager is in the process of reviewing the systems for ensuring the health and safety of the people that live in the home and also the staff who work there. This is another priority area that needs attention. Staff are working in the home without receiving up to date training in Fire Safety and Manual Handling. There is a fire risk assessment in place but fire drills and checking of the fire system have been omitted for at least two months. This is unsafe practice. The risk assessment for the environment of the home could not be found, which creates a further risk to health and safety. Radcliffe Gardens Nursing Home DS0000067049.V344230.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 2 3 x x x x 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 3 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 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 x x 2 Radcliffe Gardens Nursing Home DS0000067049.V344230.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 Care plans must be provided when the need arises. This will enable staff meet the care needs of the individual. Care plans must show evidence that people are involved with developing their own care packages. This will Care plans must be reviewed regularly or when the need arises. This will ensure that the prescribed care is relevant and up to date. Risk assessments must be carried out in areas such as nutrition, pressure area care and continence. This will assist staff with dealing with identified problems and help prevent potential problems. The staff at the home must administer controlled medication correctly. This will ensure they meet their professional and legal qualifications and will reduce the risk of medication errors occurring. Two people must sign for Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 24 Timescale for action 31/10/07 2 OP7 15(1) 30/09/07 3 OP7 15(2)(b) 30/09/07 4 OP8 14(1)(a) 30/09/07 5 OP9 13(2) 31/07/07 6 7 8 OP10 OP27 OP29 12(4)(a) 18(1)(a) 19(1)(b) 9 OP30 18(1)(c) 10 OP30 18(2)(b) administering controlled drugs. This will ensure the risk of error is reduced. People should receive personal care in an area that respects their privacy and dignity. The staffing levels must be reviewed to ensure peoples care needs are appropriately met. All the required information needed for all new employees is obtained prior to commencing work. This will help protect the people who live there. Staff working in the home must receive the correct mandatory training and extra training needed to assist them with meeting the needs of the people that live there. The registered person must ensure all staff receive appropriate induction. This will assist them with meeting the requirements of their identified roles. The manager must develop and maintain a system for evaluating the quality of the services provided at the care home. This will help to improve the lives of people who live there. 30/08/07 30/08/07 31/07/07 30/09/07 31/08/07 11 OP33 24(1) 31/10/07 12 13 OP33 OP38 18(2)(a) 23(4)(a) All staff must receive appropriate 31/10/07 supervision to assist them with meeting their roles. The registered person must 31/08/07 ensure that the testing of fire alarms and emergency lights are recorded weekly. (The previous timescale of 01/09/06 was not met.) The health and safety systems and processes must be completely reviewed to ensure the residents and staff are DS0000067049.V344230.R01.S.doc 14 OP38 23(2) 30/09/07 Radcliffe Gardens Nursing Home Version 5.2 Page 25 properly protected. 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. 4. Refer to Standard OP7 OP12 OP19 OP31 Good Practice Recommendations It is recommended that the care planning becomes more person centred in approach and less clinical. The daily records should reflect the activities which each person was involved in over the course of each day. The use of storage space should be reviewed so that equipment is stored safely The manager should devise appropriate systems to help ensure the day to day running of the home is maintained and the standard of care is appropriately delivered. Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Radcliffe Gardens Nursing Home DS0000067049.V344230.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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