Inspection on 26/02/09 for Redcotts

This inspection was carried out on 26th February 2009.

CSCI found this care home to be providing an Good service.

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

Redcotts 24/02/10

Redcotts 21/01/10

Redcotts 19/11/09

Redcotts 09/09/08

Redcotts 24/04/08

Redcotts 02/05/07

Redcotts 16/05/06

Redcotts 24/11/05

Redcotts 07/04/05

Redcotts 03/11/04

Redcotts 14/07/04

Redcotts 14/01/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Redcotts 96 Wensleydale Road Hampton Middlesex TW12 2LY Lead Inspector Sandy Patrick Key Unannounced Inspection 10:00 26th February 2009 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 Redcotts DS0000017388.V373685.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. Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redcotts Address 96 Wensleydale Road Hampton Middlesex TW12 2LY 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) 020 8979 5477 020 8979 5491 redcottshome@aol.com Mr Sajjad Hassan Stella Vuyiswa Brenda Lehola Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 18 9th September 2008 Date of last inspection Brief Description of the Service: Redcotts is a privately owned residential care home registered for up to 18 older people. The owner visits the home on a regular basis and a manager is employed to oversee the day-to-day operation of the home. The home is situated in a residential road in Hampton, close to local shops, community facilities and public transport networks. Communal rooms include a lounge and separate dining room. The home has a large rear garden. Residents’ rooms are on the ground and first floor of the home. The home is staffed 24 hours a day. Information about the home is available in a Service User Guide, which includes information on the aims and objectives of the service. The home’s charges range from £520 - £700 per week. Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. As part of the inspection we visited the home on 26th February 2009. We met people who live there, the Manager, the Owner, staff on duty and some visitors. We looked at the environment and at records. We also observed how people were treated and supported by staff. We wrote to people who live at the home, their representatives and staff and asked them to complete surveys about their experiences. We also looked at all the information we had received about the home since our last key inspection. At the last inspection in September 2008 we found that people who lived at the home were receiving a poor service. We made 37 requirements. We also issued the provider with a Statutory Requirement Notice to make improvements to the environment, improvements to health and safety, changes to the staffing and improvements in record keeping. We wrote a warning letter to the provider telling him that he must give staff the training they needed to do their jobs. We visited the home on 27th November 2008 to see what progress had been made in meeting our requirements. The London Borough of Richmond have been visiting the home regularly to monitor the quality of the service and to give support so that this could improve. We looked at the information the London Borough of Richmond gave us as part of this inspection. We asked the provider to send us a plan which showed us what action they were taking to improve the service. From looking at this information and from speaking to people who live, work and visit the home, we felt that there had been a lot of improvements. People told us that they were happier and felt that the service was better managed. Some of the things people told us were: ‘The carers look after the service users with genuine care and affection.’ ‘Things have really picked up for the best in the last three months.’ ‘A friendly atmosphere.’ Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 6 ‘Things have improved recently.’ What the service does well: What has improved since the last inspection? What they could do better: The Owner needs to sort out the arrangements for managing the home. There needs to be further improvements to the way medication is managed to make sure everyone is kept safe. Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 7 There needs to be further improvements to record keeping, to make sure all records are comprehensive, up to date and accurate. The staff need to find out more about people’s individual interests and hobbies and they need to help people to pursue these. The Owner needs to make sure all areas of the home are safe and regular checks on health and safety are maintained. 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. Redcotts DS0000017388.V373685.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 Redcotts DS0000017388.V373685.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): Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. No people have moved to the service since our last inspection, however, there are procedures in place to assess people’s needs and information to help them make a choice if they were interested in moving to the home. EVIDENCE: People living at the home told us that they had enough information to help them make a decision about moving there. They said that they were able to visit and spend time there. There are procedures for assessing people’s needs and we saw assessments had been made on the people who live at the home. Redcotts DS0000017388.V373685.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Everyone’s individual needs are recorded so that the staff know what they need to do to help people. The staff work closely with other professionals to keep people healthy. The way in which people are supported to manage their medication has improved however staff are still making some mistakes which could put people at risk. EVIDENCE: People told us that they received the care and support that they needed. The Acting Manager and consultant have worked hard to improve the information for staff about each person’s needs, wishes and likes. A record (care plan) has been created for each person and this tells the staff what they need to do to support them. These plans are reviewed monthly. The staff write a diary each day to show what care and support they have given each person. The staff need to make sure they record what each person has done every day as well as how their care needs were met. Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 11 We saw that risks people face had been assessed and recorded. We saw that sometimes these had not been updated when someone’s needs had changed. The staff need to make sure these are regularly reviewed and updated if anyone’s needs change. Everyone is registered with a local GP and sees other health care professionals as they need to. We saw that health needs were recorded and monitored by staff. Some people had specific health needs which were not always recorded in detail within care plans. For example one care plan stated that staff should monitor someone’s blood sugar levels. However, there was no instructions about how they should do this. We felt that sometimes it would be useful to have more detail on these specific needs to make sure all staff had access to the best information. Some people use specialist health care equipment. The majority of staff have been trained to support them with this. Staff must not give support with this equipment unless they have been trained and assessed as competent. We saw that people’s personal care needs were recorded. The staff keep records to show when people have had baths and other support with personal care. The pharmacist who supplies medication to the home visits to conduct audits on how Redcotts staff manage medication. They completed a survey for us. They said that they felt the staff sought their advice and supported people to manage their own medication. They felt that there should be some improvement to staff knowledge and skills when handling medication. We found that there had been improvements to medication practices, including the training and assessment of all staff in this area. In general storage of medication was more organised, however we found some areas of practice which put people at risk. These included: Medication belonging to people who no longer live at the home. No administration record, no details on the person’s care plan and no medication details for a person who is administered an injection by district nurses every few months. No details of stock medication carried forward from one month to the next. Inaccurate records for the amount of tablets for two different types of medication checked. Some gaps on administration records where details of administration were not recorded. Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 12 An excessive amount of stock for one type of medication (more than 2 years supply). Inaccurate records which indicated that medication had been given in the future. A tablet which had fallen out of its original packaging and was loose in a box. Medication records did not indicate how many tablets had been administered for a medication with a variable prescribed dose. No instructions about which ear one person’s ear drops were to be administered in. Redcotts DS0000017388.V373685.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to take part in some activities and these are advertised. People are not supported to pursue their individual interests and hobbies. Visitors are welcome at the home. People are offered a selection of nutritious food but should be offered more choice about what they eat. EVIDENCE: People told us that there were sometimes activities which they enjoyed, but sometimes there was not things for them to do. One person told us, ‘since last summer the home has worked hard to meet the needs of service users with visiting activities 3 afternoons a week, hairdresser and keep fit’, they also said, ‘once a month there is a sing along and music afternoon and staff do activities with service users.’ Over the past 6 months there have been improvements to activity planning. There are now weekly exercise sessions and monthly visits from an entertainer. Planned activities are advertised on a notice board. People who live at the home told us that there was a new DVD player and sometimes they watched films on this together. Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 14 On the day of our visit the planned activity did not take place. The staff told us that some people did not want to join in with planned group activities. The staff now need to look at everyone’s individual social needs and interests and to record these in a care plan. The staff should think about ways they can support people to meet these needs and pursue their personal interests. For example, we saw that one person enjoyed watching sport on television. The staff should make sure the person has regular opportunities to watch their chosen sports and are always informed when this is on the television. The staff should work with families to help create detailed records about each person’s life before they moved to Redcotts, including things, places, people and dates which are important to them. The staff can then use this information to get to know people better and to help them celebrate and commemorate the things that they would like to. Visitors are welcome at any time and we saw visitors throughout the day when we were at the home. We spoke to some visitors and they said that they were made welcome and that they were able to meet people in private, join in activities and spend time with them. Information for people who live at the home has improved. There is a notice board of staff photographs on display in the foyer. There is information on how to make a complaint, local advocacy services, activities and copies of the home’s welcome pack also available in the foyer. People told us that they generally liked the food at the home. One person said that the food at the weekends could be improved. Another person said that they liked the food but they would like to have a bit more variety. One person said, ‘food could be better presented’. One person said, ‘it is better now because the cook stays until after supper’. One person told us that they would like to have a bit more choice at meal times. We saw that the lunchtime meal was a relaxed and pleasant dining experience. The Acting Manager told us that she was planning to introduce individual menus on the dining tables to help keep people informed about menu choices. Redcotts DS0000017388.V373685.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the information they need so they know what to do if they have a complaint. There are procedures designed for investigating complaints and for protecting people from harm. EVIDENCE: People told us that they knew who to speak to if they were unhappy about something. They said that they knew how to make a complaint. Information for people who live at the home about how to make a complaint has improved. The Acting Manager told us that she plans to update the complaints procedure. The home has a copy of the local authority protection of vulnerable adults procedure and its own procedures on whistle blowing and abuse. The staff have all been trained to understand about protecting people. Redcotts DS0000017388.V373685.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There have been improvements to the environment and people now live in a suitably maintained, safe and decorated home. However, further improvements to the environment would benefit people who live there. EVIDENCE: The home is situated in a residential road in Hampton. There are gardens at the front and back and over the last year there has been work to make these gardens more accessible for the people living at the home. Everyone living at the home has their own bedroom. There are a number of communal bathrooms and WCs and the Owner is planning to convert one bathroom into a shower room. Since the last inspection the Owner has worked hard to improve the environment. There have been improvements to communal and private rooms Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 17 and the garden. These include new flooring, new WCs, decoration, repairs to equipment. Some areas have been redecorated. Other areas of the home would benefit from redecoration. Some furniture and curtains would benefit from replacement. People told us that the home was fresh and clean. One person said, ‘the cleanliness of my bedroom has improved considerably recently’. We found the home clean and fresh throughout our visit. We saw that bathrooms were regularly checked for cleanliness and that this was recorded. WCs were supplied with liquid soap and paper towels. Redcotts DS0000017388.V373685.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are now getting the support and training they need to care for people living at the home. EVIDENCE: One person who lives at the home told us, ‘the staff are attentive and hard working’. The staff told us that they felt things at the home had improved recently. Some of the staff had felt intimidated by the previous Manager and they had felt correct procedures were not always followed. The staff told us that they now felt better supported and had the information and records they needed to help them in their job. The staff said that they found the Acting Manager and Owner supportive. Since the last inspection the staff recruitment files have been updated to include all required documents and evidence of thorough checks on the staff’s suitability to work. New job descriptions and contracts of employment have been created and issued to staff. Not all staff have signed copies of these and they should do as soon as possible. There have been improvements to the numbers of staff working at any one time and how this is planned and recorded. The staff have taken more Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 19 responsibility for working the hours planned by the Acting Manager and there are records to show the actual hours worked by all staff. We saw that there were always at least two members of staff on duty at any time. We also saw that there was a overlap of time when the staff changed over. This is designed to allow the staff to handover information to each other. At the time of our inspection the house was not full, therefore staffing numbers were relatively low. These met the needs of people living at the home however, the Owner must increase staffing levels to meet the needs of more people as they move to the home. The Acting Manager has started to hold staff meetings. sure these take place regularly. She needs to make Since the last inspection the staff have undertaken a range of training. We saw records of this and planned training. The staff still need to have training in food hygiene, dementia and supporting people with specific health care needs. The Acting Manager needs to make sure this training is arranged for all the staff. She told us that she is organising this. Some of the staff have completed NVQs for their roles. The Manager told us that other staff had started training towards these. One member of staff said, ‘when I started I did not have any induction training but when the new acting manager started she did induction training with me which covered everything I needed to know for my role.’ One member of staff told us, ‘I would like more in house training for staff’. Redcotts DS0000017388.V373685.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel that they live in a well managed service, however the Registered Manager has not been working at the home since July 2008 and this situation needs to be resolved. EVIDENCE: The Registered Manager has been suspended from her post since July 2008. The Owner must take appropriate action to resolve this situation. In August 2008 a part time consultant started offering some support to the home, improving records and health and safety. She continues to have involvement and has helped set up systems to give the home some structure and meet the requirements we made at the last inspection. The Owner has Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 21 spent more time at the service, visiting daily and offering support to people living there and staff. In October 2008 an Acting Manager was employed. She has worked at the service part time. She has provided managerial support for the staff and helped to improve practice and procedures at the home. She will be employed to work at the home full time from April 2009. The Acting Manager told us that she felt it was important for the staff to spend time talking to people who live at the home and getting to know about them. The Owner told us that he plans to meet regularly with the Acting Manager and offer support and supervision. This is important, however as his background and knowledge is not social care based, he should organise for her to have additional professional supervision with a suitably qualified person. The Acting Manager should make contact with other local care providers, who may offer support, share training and share ideas on good practice. Staff working at the home said that they found the Acting Manager supportive and some of their comments were, ‘the acting manager is lovely’, ‘communication has really improved’ and ‘there have been a lot of improvements’. The Acting Manager has started to meet with staff individually to offer them supervision and support. She needs to make sure she has regular individual meetings with all the staff People living at the home maintain control of their own finances or have representatives who do this for them. However, they are able to leave a small amount of cash with the Manager for safekeeping. This money is used for small purchases such as hairdressing and newspapers. We saw that accurate records and receipts for all purchases were kept for this money. Other people have chosen for the Owner to add small purchases to the monthly fee invoice. Since we last inspected the home there has been an improvement in record keeping. The records for people living at the home and staff have improved and in general information is more clearly recorded and accessible. However, some records were not kept up to date. The record of admissions, discharges and people living at the home was not accurate and this must be. Records of health and safety checks were not always in place and must be. In addition some records which are useful for the smooth running of the home, for example the maintenance book, were not kept up to date. The Acting Manager and Consultant have worked hard to update policies and procedures and to make sure these are all in place. They have made sure the staff are aware of these. The Acting Manager told us that some of the policies and procedures still need to be improved and that work is taking place on these. The Consultant is creating an employee handbook for staff. Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 22 The fire officer visited the home in 2008 and made recommendations and requirements to make sure the home was adequately protected against the risk of fire. Some of these requirements have been met. However, at the time of our visit some fire exits were not suitably identified with signage. One fire exit in the lounge was locked and the key for this was not readily available for people who live there. The provider must make sure people who live at the home can open this door in an emergency. Since the last inspection the staff have started to make regular checks on health and safety at the home. These are recorded. Records showed that the planned checks were not always taking place. The Acting Manager must make sure regular checks on health and safety and fire safety take place and are recorded. Records of water temperatures showed that some hot water outlets were very hot and people are at risk from scalding. The Owner must make sure temperature valves are adjusted so that the risks of people scalding themselves are reduced. We saw that all electrical equipment had been checked to make sure it was safe to use. Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 23 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 3 X 3 X X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 3 3 3 2 3 Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 24 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 OP33 Regulation 24 Requirement Timescale for action The Registered Person must 31/03/10 introduce a quality assurance system and look at how people who live at the home and their relatives can contribute to this. The Registered Person must 20/03/09 make sure fire exits are appropriately labelled, free from obstruction and unlocked. Not met 24/12/08 2. OP38 13 24 3. OP7 13 The Registered Person must 30/04/09 make sure risk assessments are made for the risks each person experiences and these are reviewed and updated regularly and following a change in need. The Registered Person must 30/04/09 make sure there are detailed care plans for people’s individual health needs. These should give staff clear instructions on how to DS0000017388.V373685.R01.S.doc Version 5.2 Page 25 4. OP7 12 Redcotts meet these needs. 5. OP9 13 The Registered Person must 31/03/09 make sure medication records are accurate and show how much medication is received, stored at and disposed of and how and when this is administered. The Registered Person must 31/05/09 make sure the staff support people to meet their individual social needs and interests. The Registered Person must 30/06/09 make sure all staff are trained in food hygiene, supporting people with dementia, use of health care equipment and supporting people with specific health care needs they have. The Registered Person must 30/04/09 make sure the Acting Manager has regular professional supervision and support. The Registered Person must 31/03/09 have an up to date record of admissions, discharges and everyone living at the home. The Registered Person must 31/03/09 make sure regular checks on health and safety take place and are recorded. The Registered Person must make sure action is taken wherever a problem with health and safety is identified. 6. OP12 12 16 7. OP30 18 8. OP31 12 9. OP37 17 10. OP38 13 Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 26 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 OP10 Good Practice Recommendations People living at the home should be given a choice about how they want their room identified. Pictures, name plates and other symbols should be attractive and meaningful to the person occupying the room. The Manager should consider organising training for staff on how to support people at mealtimes. There should be a range of resources which people can use to pursue leisure interests and these should be accessible to everyone. The Owner should consider relocating the staff WC in order to make the utility room larger and easier for staff to use. The Registered Person must ensure that accessible bath and shower facilities are available to residents. The staff should record information on what each person does in their daily dairy as well as information on how their care needs were met. The Acting Manager should make sure medication belonging to people who no longer live at the home is returned to them or the pharmacist as soon as possible. The Acting Manager should make sure there is not excess stock of medication. The staff should consider working with people and their families to create a detailed picture of their lives, interests and experiences. 2. 3. OP10 OP12 4. 5. OP19 OP21 6. OP7 7. OP9 8. OP9 9. OP12 Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 27 10. OP15 People should be able to make a choice about the food they eat and the Acting Manager should make sure people are regularly consulted about the food so that their comments and wishes can be used to plan future menus. The Owner should continue to redecorate areas of the home and should consider replacing some furniture and furnishings. The Acting Manager should make sure all records are kept up to date and are accurate. 11. OP19 12. OP37 Redcotts DS0000017388.V373685.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Redcotts DS0000017388.V373685.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!