Inspection on 30/08/05 for Redcourt Care Home

This inspection was carried out on 30th August 2005.

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

Other inspections for this house

Redcourt Care Home 15/10/08

Redcourt Care Home 30/04/07

Redcourt Care Home 16/11/06

Redcourt Care Home 19/12/05

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

CARE HOMES FOR OLDER PEOPLE Redcourt Care Home 2 Carnatic Road Mossley Hill Liverpool L18 8BZ Lead Inspector John McCabe Unannounced 30 August, 2005 9:30 th 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 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. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Redcourt Care Home Address 2 Carnatic Road Mossley Hill Liverpool l18 8BZ 0151 724 1733 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Argyle Care Group CRH PC 51 Category(ies) of DE(E) registration, with number 51 places of places Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection N/A Brief Description of the Service: Redcourt Care Home is a large establishment providing personal care for up to 51 older persons with organic mental disorders. The home consists of two units one of which is the original build of many years ago, called Claret, and a newer building, known as the Mews. Both buildings have lounges, dining rooms, and quiet areas for service users. Bathrooms and toilets are on each floor. Bedrooms are fully furnished with carpets and curtains, and fitted furniture, some residents have personalised their own rooms. There is a large internal/secure garden and courtyard as well as external garden area. The home is situated in a quiet residential area close to Sefton Park and the local amenities. The home has off road parking. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours, the home’s proposed manager was present throughout the inspection. A tour of the building took place, which included the majority of residents’ room, kitchen, laundry and garden areas. The personal files of residents and care staff were reviewed, including the finances of the residents. The inspector spoke with both staff and residents to ascertain their views of the care home. What the service does well: What has improved since the last inspection? What they could do better: The management and administration of residents’ records and documentation would benefit from review to ensure that the assessed and changing care needs of the residents can continue to be met. The documented supervision of staff in the home needs to begin on a regular basis in order to ascertain the performance and training needs of the staff. Further training is needed for staff in the home on, Person Centred Dementia Care, to ensure that the symptomologies of the Organic Psychoses (Dementia) are recognised in residents, and suitable care strategies and relevant individual care plans are implemented. Although it is acknowledged that there has been sustained investment in the home to improve the environment since the Argyle Care Group took over ownership the care home remains in need of further refurbishment. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 6 Risk assessments need to be undertaken on individual residents to ensure their health and safety is not compromised by having large quantities of liquid soap in their rooms. This should reduce the potential risk of ingestion. The proposed manager did confirm that an NICEIC electrical inspection had recently taken place, however, they must remain mindful of the necessity to ensure the certificate of insurance and worthiness is available for inspection and that it should be in date. 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. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5,6. The resident’s preadmission assessment documentation needs to be standardised and care staff informed and instructed on what documents to record residents information. This should ensure that the assessed and changing needs of the residents are met. This will also help to ensure that the skill mix of the workforce in the home can meet the residents identified care needs. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 9 EVIDENCE: The home does have a Statement of Purpose, which needs to be up dated to include the name of the homes proposed manager. Both the Statement of Purpose and the Residents Guide documents outline the aims, objectives and philosophy of care offered in the home. Each resident in the home is provided with a Statement of Purpose, and a contract. During case tracking of residents recently admitted to the home, it was evidenced that the there were inconsistencies in the documentation, assessments and protocols used for each resident. The files evidenced documents, which were not fully completed, dated or signed by the home’s care staff. In one residents file they was an incomplete document, which was headed ENAZ. Both the proposed manager and the deputy manager were not aware of the meaning of ENAZ. The file contained no assessment from the GP, Social Worker or Community Psychiatric Nurses (CPN). Neither the proposed manager nor the deputy manager was able to confirm on what basis the resident was admitted to the home, or whether the resident had a functional or organic psychosis. The homes own policy on emergency admission states that assessment documents should be in place 48 hours after the emergency admission. There also appeared to be a lack of clarity as to which specific pre admission and care plan documentation should be used. The proposed manager needs to customise and decide what information about residents needs to be recorded and in what format, so as to avoid discrepancies, especially in care planning and risk assessment of the residents. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10. Resident’s individual health, personal and social care needs are not fully recorded in the care plan, and don’t provide care staff with all the necessary information they need to meet the residents care needs. Care staffs need to be aware of the resident’s dignity and sensitivity at mealtimes, so as to promote the well-being and independence of the resident. EVIDENCE: All residents in the home have an individual care plan, which is formulated from the pre admission assessment to the home. Various care plans reviewed on the day of the inspection evidenced that there was no consistency in what is written about each resident. Because the Pre admission documents are not standardised, individual care plans are not comprehensive enough to ensure that the residents, psycho/social, physical or mental needs are properly identified. Health records are documented daily for each resident, this includes any critical incidences plus any visits from GPs, specialist nurses etc. The inspector was told that one resident had a pressure sore, which had been appropriately managed, within the home with advice from the district nurse service. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 11 No resident in the home self medicates, all medications for residents are administered by carers in the home, who have undertaken drug administration training. The protocols for the receipt, storage, disposal, and documentation of medications in the home are in accordance with the National Minimum Standards (NMS) All residents in the home can access their NHS entitlements, which include access to dentistry, opticians and chiropody services. Residents’ documentation is kept secure in the home in accordance with the Data Protection Act 1998. On the day of the inspection, residents’ breakfast was served at 1020 hours; the cook told the inspector and the proposed manager that the late breakfast was due to the kitchen assistant being late for work. The dining room tables were without table clothes, condiments, serviettes, and all cups were without saucers. Residents were not being assisted with their meal; one resident was trying to cut toast with a dessert spoon. The inspector was concerned that this demonstrated a lack of awareness by the care staff in understanding the importance of Person Centred Care approach for dementia sufferers. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15. Residents do have opportunities to exercise some degree of choice over their lives and they do have flexibility about how they spend their day in the home. This encourages independence and individuality for each resident. EVIDENCE: Residents at the time of their admission are asked about their lifestyle preferences. Each resident, with help from a family member, is encouraged to complete a “Getting to know you” questionnaire, which is a “Work life History” of the resident, and includes past significant events such as schooling, work, hobbies, as well as food likes and dislikes etc. This information is used to plan organised activities for the resident. The home has recently employed an activities co-ordinator for twenty-four hours per week. The activities coordinator makes a daily record in the resident’s file, of what activities they participated in during the day. Visitors are allowed in the home at any reasonable time of day and residents may entertain their visitors either in the communal lounges, or in their own bedroom. The gardens are ideal setting for residents to sit with their relatives, especially in the summer months. At the time of this inspection the home had no printed menus for residents to refer to, nor were there any menus in the main dining rooms. During a Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 13 conversation with the chef in the kitchen it appeared that the chef was unsure of what food would be cooked for the evening meal. This matter must be addressed with a menu being made available on a daily basis to allow residents the opportunity to choose a preferred option. This would also provide evidence of the provision of a nutritious and balanced diet. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,18. The home has a satisfactory complaints system with evidence that residents and family feel their views are being listened to and acted upon. The home does have a policy for POVA, and Whistle blowing, but there was insufficient evidence that all staff had received instruction on the protection of vulnerable adults. This could compromise residents’ welfare if staff are not fully aware of what constitutes potentially abusive practice and how to deal with it. EVIDENCE: There have been no internal complaints, however one complaint was reported to the commission since the last inspection. The complaint, after investigation was not upheld. The home has robust complaints procedures that are documented in the residents guide and the staff handbook. The care home has up to date information on the Protection of Vulnerable Adults (POVA), as well as a whistle blowing policy. However it could not be evidenced, that newly recruited employees had received instruction on the protection of vulnerable adults during their induction course. The proposed manager must remain mindful of the need to evidence that all staff have undertaken training and instruction so they are aware of and understand relevant procedures designed to safeguard vulnerable people. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19.20.21.23.24,26. The homes environment has been subject to an ongoing programme of maintenance. However further refurbishment is required to ensure a safe and comfortable environment for all of the home’s residents. The present unsafe practice of inappropriate storage of potentially dangerous substances such as liquid soap potentially compromises the health and safety of residents and must cease. EVIDENCE: The Argyle Care group acquired the home last year and it is acknowledged that there has been sustained investment in the fabric and decoration of areas of the home since then. The CSCI was assured last November 2004; by the registered person that refurbishment would be on going in the home. Up to date fifteen of the residents’ rooms have been redecorated, when they have been vacated. However further work is required, especially in a number of residents’ rooms to eradicate malodour as well as to upgrade the main corridors and laundry. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 16 The main kitchen of the home was observed to be untidy and surfaces were in need of cleaning. There was a tabloid newspaper placed on a work surface and the inspector was concerned to note that the chef appeared unaware that newspapers can spread infection. Outside the kitchen was littered with dead leaves, cardboard cartons, and other debris. The two kitchen floor mops were filthy and were not being stored in the correct manner. The homes ironing room is drab and the lighting is poor, making it difficult to read labels on residents’ personal clothing. Handrails are missing from a wall in one of the units, and some of the residents’ bedrooms have blown light bulbs. The metal handrails on the ramps, which provide an exit to the main ground floor lounge, are unsafe and need to be re bolted into the concrete floor, to ensure the safety of the residents. A resident told the inspector that the drawer in his wardrobe had been broken since he was admitted to the home in April 05. The inspector was concerned to note that residents’ health and safety in the home is being potentially compromised, because of the storage of large amounts of shampoos and other chemical in the residents’ rooms. On the day of the inspection one resident had two and a half litres of shampoo in her room. There is a risk of people who experience dementia of ingesting soap products like shampoo, which is a point that has been previously raised with staff at the home. Consequently it is reinforced that all dementia sufferers must be risk assessed to ascertain whether they are cognitively competent to have shampoos, razor blades, deodorants, and body talc in their own rooms Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,2,9,30. The standard of vetting and recruitment practices has improved with the appropriate checks being carried out on all new staff. This ensures that the residents are not put at risk. EVIDENCE: The home’s recruitment policy is robust and in accordance with the NMS. All staff in the home have an up to date CRB/POVA enhanced certificate, so ensuring the safety of the residents. The proposed manager told the inspector that there were three staff vacancies in the home, two full time care staff and a handyman. When reviewing the staff duty rota it was noted that, on night duty, one carer was working 84 hours per week, another carer 72 hours per week and one carer working 66 hours per week. The proposed manager is aware of the Working Time Regulations 1998 Individual Opt-Out Agreement (Reg 4 (1), but individual staff had not signed the agreement. All staff that wish to work more than 48 hours per week must sign this document. The regulations also stipulate other requirements for staff working over a permanent 48 hours per week. The registered person is required to familiarise the contents of the regulations and implement them in the care home. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 18 Though staff volunteer to work these long hours the proposed manager and the registered person must be satisfied that the employee’s health is not at risk and resident’s safety is not compromised. The residents assessed and collective care needs ought to be reflected on the levels of qualified care staff on duty at any given time. Given the lack of, or minimal, up to date resident dependency ratings for all residents, it was not possible to ascertain the rota accurately reflected the staffing levels. The use of agency staff has drastically reduced over the last few months. The proposed manager confirmed that those agency staff who are being employed are being done so on a regular basis to aid consistency. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37,38 Whilst it is acknowledged that there have been some indications of improvement the management of this service must continue to effectively demonstrate a sustained improvement in the standards of service delivery across a range of outcomes for residents. It is unacceptable that there remain outstanding requirements from previous reports and these must be addressed urgently. EVIDENCE: The proposed manager has been employed in Redcourt since April 2005; previously she was a registered manager in another of the company’s homes. The proposed manager has BA (Hons) Nursing in Learning Disabilities, and NVQ Level 4 in Management, but has limited training for residents with Organic Psychoses, (Dementias). The proposed manager has managed to reduce the level of agency use within the home that has aided consistency of care however there is further work Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 20 needed to effectively evidence that residents were fully benefiting from the ethos, leadership and management of the proposed manager as indicated below. The method of documenting and maintaining records pertaining to residents, including care plans and risk assessments, is inconsistent. During the process of case tracking resident’s files, it was apparent that residents recently admitted to the home had no inventory of their personal belongings or clothing. The resident’s environment needs further improvement and it was of concern to note that the health and safety of residents was continuing to be potentially compromised by having large quantities of liquid soap products in their bedrooms. It was also evident when reviewing the new employees induction course records, that reference is made to staff in Redcourt, needing to be aware of the ‘Ashbourne Policies.’ Ashbourne is another large care company not associated with the Argyle Care Group. This information is incorrect and action must be taken to either ensure the policies are personalised to the Argyle care group or to provide Argyle’s own policies. Documented supervision of staff is still not being consistently undertaken as per the NMS 36.2. This was a requirement in previous reports and must now be implemented as a matter of urgency. The homes fire drill book could not evidence that staff in the home had participated in a recent fire drill, this has safety implication for both residents and staff. Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 2 2 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 3 2 3 3 3 2 2 2 Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 22 YES 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 14 Regulation 3 Requirement Timescale for action 30/09/05 2. 7 15 3. 4 19 The registered person is required to ensure that a comprehensive pre admission assessment of each service users care needs is carried out, before being admitted to the home. All relevant information must be recorded, dated and signed. Where possible the service users must be part of this process and sign to show their agreement with the outcome. (Previous timescale for this requirement was 31st July 2004.and 30th November 2004.not met) The registered person is required 30/09/05 to ensure that an up to date care plan is in place for all service users. The care plans must be dated and signed and hold all the necessary information relating to service users needs. This information must include details of service users cognitive abilities. (Previous timescale for this requirement was the 31st July 2004 and the 30th November 2004 not met) The registered person must 30/09/05 ensure that specialist training for all care staff in the home is Version 1.30 Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Page 23 4. 36 19 5. 38 13 6. 38 23 7. 3 14 8. 10 12 9. 15 16 10. 19 23 ongoing to ensure that the assessed and changing needs of the service users are met. The registered persons must ensure that all care staff receive formal supervision at least six times per year, this process is then recorded in each employees personal file. (Previous timescale for this requirement was 31st July 2004 and the 30th November 2004 not met) The registered person must ensure that the NICEIC certificate for the main electrics in the home is renewed and updated. ( Previous timescale 30th November 2004 not met) The registered person must ensure that there are regular fire drills for both day and night staff in the home. The names and signatures of staff participating in the drills should be recorded. (Previous timescale of the 30th November 2004 not met) The registered person must ensure that when there is an emergency admission of a resident, a full assessement of the resident is undertaken 48 hours after admission to the care home. The registered person must ensure that residents sensitivity and dignity is maintained at all times, especially at meal times. The registered person must ensure that there is a planned menu for residents, and that daily menus are available for residents to refer to. The registered person must ensure that a programme of routine maintenance and renewal of fabric and decoration of the premises is produced and implemented with records kept. 30/09/05 30/08/05 30/09/05 30/09/05 30/09/05 30/09/05 30/09/05 Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 24 11. 19 16 12. 19 13 13. 14. 26 19 16 13 15. 27 18 16. 18 18 17. 32 10 Copies of this record to be sent to the Liverpool/Wirral CSCI offices. The registered person must ensure that the homes kitchen is clean and tidied, and the homes chef instructed on infection control policies The registered person must ensure that the service users are not placed at risk or harm - and must remove all items of possible ingestion (such as suncream, shampoo, communal soap, etc) from communal and/or easily accessible areas immediately. The registered person must ensure the care home is kept clean and odour free at all times. The registered person must ensure that the metal hand rails leading from the main lounge on the ground floor are bolted to the concrete floor of the garden. The registered person must ensure that care staff who are working 84 hours per week have been informed of the Working Time Regulations 1998, Individual Opt Out Agreement Regulation 4 (1). The registered person must remain mindful of the need to evidence that all staff have received training and instruction so they are aware of and understand relevant procedures designed to safeguard vulnerable people. The registered person must ensure that the manager communicates a clear sense of direction and leadership within the home. This refers to the residents documentation and ensuring all previous outstanding requirments are met . 30/09/05 30/08/05 30/09/05 30/09/05 30/09/05 30/09/05 30/09/05 Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 25 18. 37 17 19. N/A N/A The registered person must 30/09/05 ensure that all the records as specified in Schedules 1, 2, 3 & 4 of The Care Homes Regulations 2001 are available in the home at all times, up to date and accurate. N/A N/A 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 N/A Good Practice Recommendations N/A Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 26 Commission for Social Care Inspection Liverpool Area Office 3rd Floor 10 Duke Street Liverpool, L1 5AS National Enquiry Line: 0845 015 0120 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 Redcourt Care Home F52_F02_s63012_Redcourt_v230522_300805_Stage_4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!