Inspection on 05/07/07 for Radiant Home

This inspection was carried out on 5th July 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Radiant Home 11/12/07

Radiant Home 05/07/06

Radiant Home 17/11/05

Radiant Home 03/02/05

Radiant Home 26/08/04

Radiant Home 07/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Radiant Home 30 Sextant Road Leicester Leicestershire LE5 2JA Lead Inspector Keith Charlton Unannounced Inspection 5th July 2007 14:00 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 Radiant Home DS0000006382.V340978.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. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Radiant Home Address 30 Sextant Road Leicester Leicestershire LE5 2JA 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) 0116 241 9898 0116 241 0354 derrol@radianthome.co.uk Mrs L Hopewell Mr Derrol Paul Hopewell Mr Derrol Paul Hopewell Care Home 6 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (6) of places Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: - Date of last inspection 5th July 2006 Brief Description of the Service: Radiant House is a small home registered to accommodate up to 6 service users within the categories of older people and dementia. The home is situated in a residential area with parking available on the street. There are four single en-suite bedrooms on the ground floor and one double en-suite bedroom located on the first floor, which can be accessed by the stair lift. Radiant House has a large lounge with dining area and a sky lounge, known as the sky lounge because it has sky television programmes. There is a fresh water fish tank in the lounge for residents to look at. Both lounges look onto the garden at the rear, which has a lawn and is surrounded by mature plants and shrubs. There is seating for residents, which can be accessed by a ramp or steps. The weekly fees are £374 to £405 per week. This information was provided in the Annual Quality Assurance Assessment sent to the Commission for Social Care Inspection prior to the inspection. There is an additional cost for hairdressing. A service users guide to the services the home offers is displayed in the hall opposite the office with a copy of the last Inspection Report so that this information is accessible to residents and visitors. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Registered Manager was not on duty apart from a brief discussion with the inspector on day one and a telephone call subsequently, so the inspector was assisted by a Care Assistant on day one then Deputy Manager on day two. Planning for the Inspection included checking on the notifications of significant events sent to the Commission for Social Care Inspection and the last Inspection Report, which had a Requirements due to have been acted upon by the time of this inspection. There has been one complaint made about the service since the last inspection regarding the number of staff needed regarding moving and handling for a resident. This was investigated by the Registered Provider and found to be: not upheld. The Inspection took place between 14.00 and 17.00 on day one, between 09.30 and 12.30 on day two and then a short additional visit to inspect staff records as these were locked away on other inspection days. The inspection included a tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke with five residents (though this was very limited owing to the difficulty with communicating with residents with a significant level of mental frailty), two members of staff, and the Deputy Manager. What the service does well: There were a number of issues which covered residents needs – staff were found to be friendly and helpful in their dealings with residents and residents Care plans contained information about residents past history which helps staff understand them as individuals with a unique past. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 6 The home was clean and tidy throughout. Colour pictorial signs identify different rooms and aid residents to find their way around. What has improved since the last inspection? What they could do better: Residents needs would be more effectively covered by ensuring that: Management systems need to be improved to ensure residents welfare needs are protected by ensuring that all allegations of abuse are reported to relevant Agencies, that there is appropriate referral to medical authorities and the Commission for Social Care Inspection for accidents needing treatment or for residents in pain, that facilities are upgraded, that waking staff are employed at night because of residents disturbed behaviour at times, that staff have all received appropriate training in relevant care issues, that all statutory checks are in place before staff commence employment, that there is always full fire safety and protection from hot radiators, there should be no free access to residents medication and information, there needs to be evidence that the Statement of Purpose has been updated and staff need to ensure residents privacy and dignity is respected by ensuring the toilet door is closed when assisting residents. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 7 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. Radiant Home DS0000006382.V340978.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 Radiant Home DS0000006382.V340978.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): 1,3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The admission process is managed but needs to be more detailed to meet the needs of residents. EVIDENCE: The home’s Statement of Purpose was not available to inspect so it could not be ascertained that required information has been included to give proper information to enquirers regarding the services and facilities of the home. Assessments were examined and confirmed residents were admitted on the basis of an assessment of their needs though this needs to be more detailed, as per the National Minimum Standard to ensure residents needs are met. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 10 Pre-admission visits are arranged and written information about the home’s services is provided in the Service User Guide. The service does not offer intermediate care. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 11 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 poor. This judgement has been made using available evidence including a visit to this service. Care plans identify care needs but do not always prescribe action to ensure residents needs are fully met. Residents health needs are not always met. Medication systems are not fully secure and do not always follow acceptable practice. EVIDENCE: Care plans inspected were found to contain relevant information regarding residents needs and there is a personal history section to ensure service users are seen as individuals with a valued past. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 12 However some areas of need are not specific enough – e.g. no referral to medical authorities regarding continence needs, no evidence of the last appointments regarding medical checks for the optician, dentist and chiropodist. One record had the last recorded chiropody visit as over four months previously. Another record recorded mobility as ‘’not good’’ but did not identify what was needed to assist the resident. Another record noted that a resident’s hearing was not good but did not indicate any reference to a GP to obtain a hearing test. A resident had a low level bed. The Deputy Manager said this was because she was at risk of falling. There was nothing in the Care Plan to indicate this. The Registered Manager needs to review Care Plans to ensure that they are up to date and all necessary medical checks have been carried out. If a need is identified there needs to be a plan of action to assist staff to deliver care, currently that does not exist. Staff said they were asked to read Care Plans by the Registered Manager. Monthly reviews of plans had not been fully carried out on all sections of the Plan to ensure it was still relevant to the resident’s needs. Accident records were viewed. There were no last recorded accidents between 2005 and 2007 in the accident record even though the home’s diary recorded a number of accidents, or reported to the Commission for Social Care Inspection – e.g. an accident on 1/7/07. A resident also had to go to hospital on 9/9/07 but this was not reported to the Commission. Another resident was found to have a small lump on her forehead on 24/6/07 but there had been no referral to medical authorities. The Registered Manager said on the last inspection that a medical alert procedure would be drawn up and this followed in future. The Deputy Manager could not find evidence of this procedure. The home’s diary also reported that a resident was in pain over the course of a night time shift on 1/6/07 but staff did not refer to medical authorities regarding this. Medicine records were in generally up to date. However there was no prescribed times and doses for one medication and some recording was not of staff signatures, only crosses. The Deputy Manager said that the Registered Provider had said that this medication was only needed every other day. If this is assessed to be the case then the GP needs to be contacted to alter the medication regime. Medication was viewed to be in an unsecured box in the unlocked office. An Immediate Requirements Notice was issued requiring the Registered Providers to ensure medication is kept securely. This was carried out by the time of day three of the inspection. Staff members said they had in-house training on medication. It is recommended that a recognised approved trainer be used to train staff. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 13 The Registered Manager said that at the 2006 inspection that refresher training was needed and the pharmacist was due to do this. This does not appear to have occurred. The inspector observed that medication is issued to residents from a recognised blister pack system. It was observed that a staff member assisted a residents in the toilet with the door open which compromised dignity and privacy. There was a comment in the last Inspection Report regarding a staff member not knocking before entering a residents bedroom therefore compromising privacy. This aspect needs to be properly addressed by way of staff training and supervision. The Registered Manager has now sought information around residents death and dying wishes to be part of Care Plans so that this process can be properly planned and meet residents wishes. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents have opportunities to exercise some choices in their lifestyles, though this needs to be reviewed to provide a meaningful Activities Programme. Food choices need to be extended to ensure that all residents needs are covered. EVIDENCE: Residents were seen to be watching the TV or sitting silently until the inspector asked if they liked listening to the radio, which they said they would and it was then switched on to music they wanted to hear. Staff need to be more proactive in determining what residents are interested in doing so they have some purposeful activity. Residents again expressed no preferences regarding activities, which is not surprising as all residents have dementia. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 15 Some activities were evidenced in the home’s diary - residents play games and catch softball, sit in the garden and went for walks with staff if they wanted and outings to the shops or to a pub if they wished to go. It is recommended that memory boxes, containing valued items, be set up for residents, particularly for residents with dementia, so as to provide valuable reminiscence material. Staff need training on providing suitable activities for residents with dementia. No residents/relatives meetings are currently held. The inspector recommended that these meetings be set up to inform management as to suggestions/quality of life issues for residents. Staff spoken to confirmed that visitors were made welcome and relatives took residents out. Staff indicated that there were no rules in general and there was free choice regarding getting up and going to bed, though it was noted in the diary that a resident who got up at night and wanted to go downstairs was directed to go back to bed, which she objected to. The Deputy Manager said this was not the policy of the home and would inform staff accordingly. Some residents said they enjoyed the food. Food records were not complete as some days were missing, sandwich content was not always recorded and menus did not offer a choice of main meal. It was noted that ham sandwiches were supplied for tea three days running. Detailed records need to be kept showing that is what residents want, to ensure that variety is offered. A resident was seen to be receiving assistance from staff to eat her food. The food tasted was found to be of a good standard. It is also recommended that a menu board be displayed to supply information to residents. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 16 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 poor. This judgement has been made using available evidence including a visit to this service. The current systems do not fully protect residents from the possibility of abuse. The complaints process needs to be more robust to ensure residents are protected. EVIDENCE: The Complaints book was viewed where there was one complaint recorded since the last inspection. This involved an allegation about the actions of a care staff member. However this information was not sent to the local Social Service Department, as per the National Guidance, ‘No Secrets’. An Immediate Requirements Notice was issued requiring the Registered Providers to do this. The adult protection policy and procedure is in place in the office to assist with proper reporting of incidents. This must be acted on. The Commission for Social Care Inspection has also received one complaint about the service regarding how many staff were needed to carry out Moving and Handling for one resident. This was sent to the Registered Provider for investigation and found not to be upheld. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 17 There is a Complaints Procedure displayed on the notice board, which did not comply with the National Minimum Standard – though evidence that the Registered Manager did alter the procedure to fully comply with the National Minimum Standard, as per the recommendation in last year’s Inspection Report, in the contract on residents files. Staff members were asked about their understanding of the adult protection procedures, and demonstrated a generally good understanding of them though one was uncertain as to all the Agencies to contact if required. The Registered Manager had said a short procedure would be drawn up, as per the recommendation in last year’s Inspection Report, but there was no evidence that this had been carried out. . Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 18 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 adequate. This judgement has been made using available evidence including a visit to this service. The home is kept clean by staff; though facilities are beginning to show signs of wear. EVIDENCE: The inspector viewed residents bedrooms, which were homely, and contained residents possessions – pictures, photos, ornaments, TV, radio etc. The main lounge was clean and furnished with homely fittings and ornaments and a large fish tank, though one fish tank was empty and did not help to create a homely atmosphere. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 19 A large homemade calendar and clock was displayed. Colour pictorial signs identify different rooms and aid service users with dementia. A small lounge is available for alternative television channels. This was in the process of redecoration and needs to have proper seating for residents installed. Facilities are beginning to look worn, e.g. easy chairs, some carpets and décor. The Registered Manager needs to review and upgrade, as per the intention in the Annual Quality Assurance Assessment. A bathroom door lock fitting has still not been installed and this is outstanding from the previous four Inspection Reports. The other bathroom lock on the first floor also does not operate and needs to be attended to urgently. Bathrooms had mops and buckets in them, which looked institutional. They need to be stored elsewhere. A full bin was found in a toilet en suite without a lid on it. Some parts of the home had dim lighting, e.g. second floor bedroom. The Deputy Manager agreed to assess this and take action if required. There are no radiator covers to prevent scalding or a written Risk Assessment to indicate whether service users are at risk. The Registered Manager said last year that he understood residents with dementia might well be at risk and this would be followed up. This now needs to be actioned. All other parts of the home were clean. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staffing levels do not meet all residents needs. Recruitment processes need to be thorough to ensure the protection of residents from unsuitable staff. A staff training system needs to be fully in place to ensure staff are fully aware of all of residents needs. EVIDENCE: The staffing rota showed which two staff are on duty from 8am to 8pm, though on the day of the inspection there was only one staff on duty as the other staff member had taken a resident out. At one time there were three residents wandering around the home with one resident being distressed. The Registered Manager needs to ensure that there are always sufficient staff on duty to cover residents needs . There is one staff on duty at night with the Registered Provider sleeping in, though this is a sleeping in staff. Considering the high level of residents activity on some nights as recorded in the home’s diary the Registered Provider/Manager need to assess the need for wakeful night staff to ensure residents health and safety is protected at all times. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 21 Staff recruitment files did not confirm that proper recruitment procedures have been followed as files were sampled and all did not contain required information – one file was missing a Criminal Records Bureau check and two others did not have two valid references. Evidence of training programmes for staff were evident in that new staff were undertaking the Skills for Care induction programmes and other staff said they were to be enrolled on National Vocational Training Qualification (NVQ) programmes in Care. The minimum ratio of 50 trained care staff in National Vocational Qualification level 2 had not been met, but should be when staff pass these courses. However as regards other essential training, staff files contained some evidence of training though one induction record showed that only one out of six essential issues had been covered in the first seven months of employment and one record indicated that training had occurred on six topics on one day (it is unlikely this training was detailed enough – it is recommended that staff attend accredited courses that provide sufficient detail) and not all staff had received training on a range of essential care issues – e.g. food hygiene, health and safety, fire, first aid, moving and handling, infection control, dementia, residents health conditions – stroke, parkinsons disease, diabetes, hearing and sight impairment etc, which is necessary for staff to have a better understanding of these conditions and so be better able to assist residents. The Deputy Manager said she was due to attend a course on how to be an effective trainer so this aspect will be developed in the future. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 22 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): 31,33,35,36,38. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Systems are not fully in place to protect the health and safety of residents, and need to be tightened to provide full protection. EVIDENCE: From comments received from staff there was satisfaction with the performance of the management in carrying out their duties. The Registered Manager has indicated on the Annual Quality Assurance Assessment that the Deputy Manager will be trained and then will apply to become the Registered Manager. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 23 Staff are now offered regular formal supervision and this was evidenced in files though it appeared task centred without the opportunity for an identification of their training needs, discussions on issues they wish to raise etc. Staff said they had received training in health and safety systems though it was observed that a staff member had placed flattened cardboard boxes against a wall in a residents lounge which a resident used later and could have tripped on them. The are Risk Assessments for safe working practices though none for the risk from hot radiators. As all residents have dementia, a risk assesment is required to ensure residents are protected from burning themselves. No Quality Assurance system was found to evidence as being carried out this year to check the service for residents, relatives, District Nurses, GPs, Social Workers etc. Staff meetings are now held though items for discussion appeared limited to residents outings with no discussions of care practice, Care Plans, training issues, suggestions for improvement etc. Fire Precautions: fire drills have been carried out on a three monthly basis. However emergency lighting testing was last carried out in December 2006.Fire bell testing had not always been carried out on the required weekly basis. There was a fire risk assessment for the home, which needs to be reviewed to ensure all fire issues have been considered and residents fully protected from fire. Fire doors to lounges and bedrooms were found to be wedged open on the first inspection day though this was then rectified. An Immediate Requirements Notice was issued requiring the Registered Providers to do this. The Registered Manager said that the Fire Officer had allowed residents bedroom doors to be wedged open but there was no evidence of this. Doors must be kept shut unless there is approval in writing or approved closures are fitted. A hot water outlet in a first floor bathroom was found to be 44c, close to the National Minimum Standard of 43c, which was satisfactory. Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 24 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 1 X 1 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 1 X X X X X X 3 STAFFING Standard No Score 27 1 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 3 3 2 X 1 Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 Requirement The Statement of Purpose/ Service User Guide needs to include: The number, relevant qualifications and experience of staff; The organisational structure of the home; The number and size of rooms; Whether nursing is to be provided; Policy and procedure for emergency admission; Fire precautions and associated emergency procedures; Arrangements for dealing with reviews of the residents care plan. Resident’s health and personal care needs and choices must be protected and followed and reflected in their plan of care. The Registered Person must ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users. To this end – residents need medical assistance summoned when necessary. DS0000006382.V340978.R01.S.doc Timescale for action 02/09/07 2. OP7 7 02/09/07 3. OP8 12 05/07/07 Radiant Home Version 5.2 Page 26 This was stated in the last Inspection Report and the timescale for action is overdue. 4. OP9 13 Medication must always be kept securely, supplied as prescribed and recorded properly. Residents privacy must be respected at all times. Residents must be safeguarded from abuse and staff must know how to operate the full Protection of Vulnerable Adults procedure. Facilities need to be upgraded to ensure they are kept in a good state and reasonably decorated. 05/07/07 5. 6. OP10 OP18 12 13 05/07/07 05/07/07 7. OP19 16 05/10/07 8. OP27 18 Staffing must be such to ensure 05/08/07 the needs of residents are met at all times. Statutory staff checks must be in place before staff commence employment. A staff training programme must be devised and provide all relevant training to staff. Health and Safety Risk Assessments must ensure that all identified risks are controlled, e.g. scalding from hot radiators, and that fire safety is fully protected. 05/07/07 9. OP29 19 10. OP30 18 05/01/08 11. OP38 13 05/09/07 Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 27 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 OP12 Good Practice Recommendations It is recommended that a staff member attend a specialised training course to provide appropriate activities for residents with dementia. A detailed Quality Assurance programme should be put in place to ensure that the home’s services are of a high standard. The Registered Person need to ensure that staff are appropriately supervised, to include All aspects of practice, philosophy of care in the home and career development needs. 2. OP33 3. OP36 Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Radiant Home DS0000006382.V340978.R01.S.doc Version 5.2 Page 29 - 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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