Inspection on 11/01/08 for Raplea

This inspection was carried out on 11th January 2008.

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

Raplea 06/09/06

Raplea 17/01/06

Raplea 16/09/05

Raplea 28/02/05

Raplea 26/07/04

Raplea 04/03/04

Raplea 28/01/04

Raplea 02/05/03

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Raplea Farthing Green Lane Stoke Poges Bucks SL2 4JQ Lead Inspector Jane Handscombe Unannounced Inspection 10:30 11 January 2008 th 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 Raplea DS0000023013.V344037.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. Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Raplea Address Farthing Green Lane Stoke Poges Bucks SL2 4JQ 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) 01753 644459 Mrs Lila Paterson Mrs Lila Paterson Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: Raplea is a care home for older people, which provides personal care for service users who are elderly. The home has three single rooms, two on the ground floor and one on the first floor. The home is annexed to the family home of the owners/manager, Mr and Mrs Paterson. It has a large garden. The home is situated half a mile from Stoke Poges village and three miles from Slough in a rural setting. Public transport is not easily accessible. The home was fully occupied at the time of this inspection. The home charges a basic fee of £380 per week. Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’ which was undertaken on 11th January 2008. The inspection involved one inspector who spent the day in the service. It was a thorough look at how well the service is doing. It took into account information provided by the registered provider, any information that the CSCI has received about the service since the last inspection and documentation viewed in the home. The inspector asked the views of the people who use the service, staff members and other people who responded to questionnaires that the Commission had sent out. Completed questionnaires were received from all those using the service and two from relatives. The inspector looked at how well the service was meeting the standards set by the government and has, in this report ,made judgements about the standard of the service. Comments received from residents during the inspection process included: ‘They are all very kind’ ‘X (named carer) is very good, helpful and willing’ ‘I can have visitors when I like, there’s no restrictions’ ‘The food is nice….Christmas dinner was lovely’ Comments received from relatives include: ‘It is a commendable place. My (relative) has had their dignity restored. She is well fed and she is taken out shopping’ ‘I feel quite lucky that my mum is in a caring environment and am happy with her care – this takes away the worry about her. All her needs are met.’ I have not needed to make any complaints and have no concerns’ The inspector would like to thank the residents, their families, and staff members for their time and assistance during this inspection. Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The information provided to both prospective and current service users, in the service users guide and statement of purpose, needs updating to provide people with up to date information and to meet with the care home regulations 2001. In order to ensure the health safety and welfare of those using the service, the registered manager must ensure that people’s medication is stored securely and safely at all times. Likewise, staff members mandatory training must be kept up to date to ensure that they are provided with updated knowledge and skills and up to date with current good practice. Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 7 It is a good practice recommendation to gain the service users signature or that of their representative where necessary, to evidence that they have been consulted with during the care planning and review process and agree to the contents of the care plan. Whilst daily entries are made in service users files it is recommended that they be fuller in description to enable an all round picture of the actual care that has been given. Shortfalls were found around the homes procedures for auditing service users controlled drugs and therefore it is a good practice recommendation that the registered manager considers purchasing a controlled drugs register to provide for a more robust system. Whilst the home gains views from those using the service and their relatives via an annual quality assessment questionnaire, it is recommended that visiting professionals and any other stake holders be included in the process to gain a more ‘rounded’ view of the service and produce a summary report of the findings which is made available to participants. It is strongly recommended that all CRB (Criminal records bureau) checks dated 2004 and prior to this date are repeated. Whilst the registered manager has a background in nursing, it is good practice to consider undertaking the National Vocational Qualification (NVQ) level 4 in care to update her knowledge and skills and up to date with current good practice. 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. Raplea DS0000023013.V344037.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 Raplea DS0000023013.V344037.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 and 5 (standard 6 is not applicable to this home) Quality in this outcome area is good. Prospective service users are provided with written details about the home and services they are able to offer and undergo an assessment of needs to ensure that both parties are confident that the home is able to provide the care that is needed. They are also invited to visit the home to enable them to make an informed choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All prospective residents and interested parties are provided with a service users guide, and statement of purpose, which gives detailed information about the homes aims and objectives, the philosophy of the home, the services offered and details of the homes complaints procedure if the need should arise. Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 10 This information has recently been reviewed in July 2007 . Whilst the statement of purpose is detailed, it must contain the qualifications and experience of both the staff and registered manager to meet with the care homes regulations 2001 for which a requirement has been made within this report. Whilst ammending this information it is recommended that the contact details for the Commission for Social Care Inspection be updated to reflect their recent change in address and telephone number. Prospective users of the service are invited to visit the home and take a meal with the current people using the service, meet with staff and gain a ‘feel’ of the home, see what facilities and services are available to them and ask any questions about life in the home so enabling them to make an informed choice when deciding upon a home to meet their specific needs. Prospective service users all have an assessment of needs carried out by either the manager, or if they are referred by social services, by their care manager, to ensure that all parties are confident that the home is able to offer the level of support and care that is required. From the evidence seen by the inspector and comments received, the inspector considers that this service is able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Raplea DS0000023013.V344037.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 and 10 Quality in this outcome area is adequate. There is a good understanding of the residents’ care needs and provision of a very good standard of care although poor procedures around the recording of controlled drugs and storage of medication could compromise the health, and well being of those using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of inspection there were three residents living in the home and each person’s plan of care was examined. The standard of care planning was generally good, with individual care needs recorded well however daily records of the care provided did not give a full picture of the actual care given with entries such as ‘had a good day’ . It is recommended that daily entries be Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 12 fuller in description to reflect the care being delivered. It was apparent from talking with residents that they considered their care needs were fully met. Also, the manager expressed verbally a good understanding of what was needed to meet the residents’ care needs but this needs to be reflected and fully documented within the daily records. Peoples plans of care were found to be individualised and gave a good picture of the persons preferred lifestyle, their interests and hobbies and a history of their life. Records of reviews of care, visits to or from the local doctors, visits from community nursing services and other health care professionals are recorded within the service users’ files indicating that their health care needs are being reviewed and met appropriately. It is a good practice recommendation to gain the service users signature to evidence that they have been consulted with during the care planning and review process and agree to the contents of the care plan. There was evidence of poor practices around the storage and recording of medication. Peoples medication was found to be stored insecurely, in an unlocked drawer of a bureau, this is clearly poor practice which is not in line with the Royal Pharmaceutical guidelines. The registered manager explained that those using the service do not have access to the room in which the medication was stored, since it is part of the proprietors’ personal living space and therefore did not believe this caused any risk to the health, safety and welfare of those using the service. A requirement to ensure that the storing of medicines be secure and only accessible to staff who handle medicines has been made within this report. Likewise we found the procedures around the recording of controlled drugs confusing and difficult to ascertain an audit trial. The registered manager explained the procedure to us and upon checking as to the number of one service users’ controlled drugs held in the home, it was apparent that the number of tablets did not tally with the balance which the registered manager informed us should be in the home; there was one extra tablet although all medication had been signed for on the administration records to evidence that all doses had been administered appropriately with no gaps to highlight the dose had been refused or not administered. A requirement has been made within this report to ensure that the registered manager has a system in place to ensure that a clear audit trial for controlled drugs be in place and it is further recommended that a controlled drugs register be purchased to provide a more robust system in recording for this type of drug. Staff encourage individuals to be independent and are aware of the need to treat individuals with respect and to consider their dignity when delivering personal care. Discussions with those using the service informed us that the Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 13 staff are always respectful and ensure their dignity is maintained when delivering their personal care. Raplea DS0000023013.V344037.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 and 15 Quality in this outcome area is good. People living in the home are provided with a pleasant and relaxed environment. Meals are home-cooked, nutritious and nicely presented offering choice in both what they wish to eat and at a time and place to suit them. The lifestyle in the home meets the expectations and wishes of those using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home encourages residents to maintain links with family, friends and the local community and support is given to maintain contact where required. Residents are able to receive visitors in private and choose who they do/do not see. Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 15 Residents explained that they enjoy wholesome meals, which offer variety and choice according to their wishes, all of which are prepared freshly on the premises. Service users likes and dislikes are respected with a choice being offered where the need arises. There is a limited range of activities on offer, determined in part by the abilities of service users and the small size and resources of the home. Daily newspapers, weekly magazines, television, radio and a selection of books and jigsaws are provided for residents’ entertainment. A visiting hairdresser and chiropodist is available for those who require. Regular trips out shopping, trips to local restaurants, local shows held in the community are provided for those using the service and when the weather prevails, residents are able to help in the maintenance of the garden according to their abilities, if they wish. Contact with friends, families is encouraged and they are invited to events held in the home such as birthday celebrations, public holidays such as that held in December, where a Christmas dinner was put on for families, friends and visitors to enjoy with their friends/family members living in the home. Raplea DS0000023013.V344037.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 and 18 Quality in this outcome area is good. There is a complaints procedure in place and if people have any concerns, they or their family members or representatives know how to complain. People living in the home are safeguarded from abuse, neglect and self harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We spoke to all the people residing in the home and all were confident that if they had a complaint, they would voice it and were confident that it would be attended to appropriately. Feedback from surveys we sent out to relatives, friends and carers also informs us that they are aware of the complaints procedure and confident that any complaints would be dealt with in a timely manner and appropriately. Since the Commission has changed its address it is recommended that the complaints procedure be updated to provide people with the new up to date contact details. Discussion with the manager and staff members informed the inspector that if there were any allegations of abuse these would be dealt with appropriately. There are policies and procedures in place for dealing with any allegations or Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 17 incidences of this nature. All staff working within the home are fully trained in safeguarding adults and know how to respond in the event of an alert. There is a clear system for staff to report concerns about colleagues and managers and are encouraged to use the homes ‘whistle blowing’ policy where the need should arise. There have been no such incidences or allegations to either the home itself or the Commission for Social Care inspection since the last inspection. Likewise the commission have not received any complaints and neither has the home. Raplea DS0000023013.V344037.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, 20 and 26 Quality in this outcome area is good. People living in the home are provided with a safe well maintained environment which is homely, clean, comfortable and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is located in an annexe to the owners’ own residence, providing residents with their own single bedrooms, two of which are on the ground floor and one on the first. Service users make use of the communal lounge/dining area to spend their day or use their own rooms if they wish for more privacy and quiet. A combined toilet and bathroom is located adjacent to the lounge for use during the day and is used by night by the two service user living on Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 19 the ground floor. There is also a separate toilet on the first floor, adjacent to the third service user bedroom. There is a conservatory attached to the main part of the building which service users, friends and relatives are able to readily access as are the patio and gardens during the warmer months. The home is kept to a very clean standard, with no odours prevalent on the day of this inspection. All three people who use the service tell us that the home is always kept to a clean standard and if there are any maintenance issues that need addressing they only have to ask and they are dealt with immediately. One lady told us that recently she pointed out that something was loose in her bathroom and the proprietor attended to it there and then. Raplea DS0000023013.V344037.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 and 30 Quality in this outcome area is adequate. The home has an adequate level of staffing input to support the needs of those using the service. Staffs mandatory training is in need of reviewing and updating to ensure service user needs will continue to be met appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Due to the size of the home it is run and managed by the proprietor who is on hand at all times to provide for the needs of the residents and she is supported by a carer and her husband. People using the service and their relatives inform us that they have confidence in the staff who provide their care. Discussion with the manager informed us that the service have a robust recruitment procedure in place to ensure only suitable people would be employed to work with those using the service and any newly recruited staff would undergo an induction training to ensure they be provided with the skills and knowledge to undertake their roles competently. The procedure is good Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 21 although not tested, as there have been no newly recruited staff since the last inspection undertaken in 2006. Whilst viewing documentation on staff training, it was apparent that some of the managers and staff mandatory training was out of date and needed updating, some of which has been booked whilst others had been overlooked. A requirement has been made to ensure that staffs mandatory training is reviewed and updated where necessary to update their skills and knowledge and thereby ensure the health, safety and welfare of those using the service. Whilst staff have had the relevant CRB checks (criminal record bureau), it is strongly recommended that those undertaken in 2004 be repeated to ensure that users of the service are in safe hands at all times. Raplea DS0000023013.V344037.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 and 38 Quality in this outcome area is adequate. Whilst the manager is qualified and has the experience to run the home competently evidence of poor procedures taking place namely around medication and the need to update staffs mandatory training do not serve the service users best interests and could compromise the health safety and welfare of those using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 23 The registered manager is available in the home on a daily basis to deal with issues as they arise and has an ‘open-door’ policy that encourages people see her without the need to make an appointment. The registered manager has many years experience caring for older people, she informs us that she has now attained her registered managers award. Whilst the registered manager has a background in nursing, it is good practice to consider undertaking the National Vocational Qualification (NVQ) level 4 in care to update her knowledge and skills. Residents and staff spoke in complimentary terms about her management ability and the support she gives. The management approach of the home creates an open, positive, transparent and inclusive atmosphere. Service users and staff spoke in complimentary terms about her management ability as did the feedback from surveys sent out prior to the inspection. The inspector discussed health and safety issues and saw appropriate maintenance records relating to maintaining a safe environment for residents. All those using the service have representatives who manage their finances, the home does not have any involvement. People are enabled to hold monies within the home and are provided with lockable storage facilities for this purpose. During the inspection it was noted that the certificate of insurance in relation to the care home was out of date. The inspector was informed that appropriate insurance was in place. Since the service was unable to provide evidence to support this during the visit; they agreed to contact the insurance company and forward us confirmation that appropriate insurance was in place. An immediate requirement was made to ensure that this evidence be provided to the Commission for Social Care Inspection within 24 hours to confirm appropriate insurance is in place. The Commission received the evidence as was agreed. Residents provide feedback about the home during everyday conversations with the registered manager and proprietor. They also have an opportunity to give written feedback on feedback forms that are provided to them and their relatives on an annual basis. The service has recently provided questionnaires to those using the service and their relatives, friends and visitors to gain their views on the service provision in order that they can act on the findings. It is recommended that the annual questionnaire be sent out to visiting professionals such as GP’s, District Nurses, Care Managers, those who visit the home to offer their professional services and any other stake holders to gain a more rounded view of the service and produce a summary report of the findings which is made available to participants. Tracking of the accident/incident recording system indicated that copies of accident forms were filed on individual case files as required. Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 24 The home deals with a number of diverse care needs and always ensures to offer a personalised service to meet the needs of their clients. There is a commitment to ensure that all clients, however diverse their needs may be, receive a person-centred package of care which meets their needs appropriately. However poor procedures around the storage and recording of medication, evident during this visit, could compromise the health safety and welfare of those using the service. Likewise staffs mandatory training needs updating to ensure that staff are updated in their knowledge and skills to care for those they provide care for. Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 25 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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 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 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 2 3 x x 3 Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 26 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 Standard OP1 Regulation 4(1)(c) Schedule 1 13(2) Requirement The homes statement of purpose and service users guide must be reviewed and amended to meet with the care home regulations 2001. The responsible person must ensure that residents’ medicines are kept safely stored at all times. The registered manager must ensure that all staff members mandatory training is kept up to date, arrange for refresher training where necessary and maintain an up to date training matrix. Evidence to show that appropriate insurance is in place must be forwarded to the Commission This was made an immediate requirement during the inspection. Timescale for action 31/03/08 2 OP9 11/02/08 3 OP30 18 07/03/08 4 OP34 25(2) 12/01/08 Raplea DS0000023013.V344037.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 OP1 Good Practice Recommendations Update the contact details for the Commission for Social Care Inspection within the service users guide and statement of purpose to provide service users with up to date information Gain the service users signature or that of their representative where necessary, to evidence that they have been consulted with during the care planning and review process and agree to the contents of the care plan. Daily entries within service users files be fuller in description to enable an all round picture of the actual care delivered. It is good practice to purchase a controlled drugs register to provide a more robust system in recording for this type of drug. It is recommended that the annual quality assessment questionnaire be sent out to visiting professionals and any other stake holders to gain a more ‘rounded’ view of the service and produce a summary report of the findings which is made available to participants It is strongly recommended that all CRB checks dated 2004 and prior to this date are repeated. That the manager considers undertaking the NVQ level 4 in care to update her knowledge and skills. 2 OP7 3 4 OP7 OP9 5 OP33 6 OP29 7 OP30 Raplea DS0000023013.V344037.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone, Kent ME16 9NT 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 Raplea DS0000023013.V344037.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. 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