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Inspection on 24/04/07 for Redlands House

Also see our care home review for Redlands House for more information

This inspection was carried out on 24th April 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Different people come into the home to offer specific activities for residents and residents enjoy this. Relatives are always made welcome into the home. The environment is clean and fresh with ample communal space for residents. Meals are well presented and offer variety and good nutritional value.

What has improved since the last inspection?

The owner has always visited the home on a regular basis, but he now also submits to CSCI a written report available of monthly visits as required under the Regulations.

What the care home could do better:

The manager has had to spend much of her time in the other two homes owned by Mr and Mrs Smart and this has not enabled her to fulfil her managerial role in full at Redlands. Formal supervision of staff is not taking place on a regular basis. No staff meetings have been arranged for some time. Staff training was difficult to track and it was hard to ensure that staff were receiving all the training they need. Staff were not always clear on how best to assist residents and for some staff moving and handling training was out of date or had not been completed.The system for looking after small ammounts of resident`s money was not working properly. The manager was not informing the Commission of notifiable incidents as required by Regulation 37 of the Care Home Regulations 2001.

CARE HOMES FOR OLDER PEOPLE Redlands House 134 Reepham Road Hellesdon Norwich Norfolk NR6 5PB Lead Inspector Ann Catterick Unannounced Inspection 24th April 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Redlands House DS0000060855.V338885.R02.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. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redlands House Address 134 Reepham Road Hellesdon Norwich Norfolk NR6 5PB 01603 427337 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) Redlands@fireflyuk.net Rhoderick James Robert Smart Mrs Frances Smart Miss Lisa Rutter Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Thirty-three (33) Older People, not falling within any other category may be accommodated. 26th October 2006 Date of last inspection Brief Description of the Service: Redlands House is a care home providing personal care and accommodation for 33 older people. Mr Rhoderick Smart and Mrs Frances Smart are the owners and the Registered Manager is Lisa Rutter. The home is located on a busy road in Hellesdon on the outskirts of Norwich and is close to all local amenities. Redlands House is a large detached house that has been extended over recent years. There is accommodation on the ground and first floor, providing seven double and nineteen single bedrooms. Some of the rooms have en-suite facilities and there are a number of other toilet facilities throughout the home. There are three bathrooms and one shower room. There are three communal lounges and a large dining area. There is a passenger lift. The grounds and garden area are well maintained and provide attractive outside facilities for service users in the summer months. The range of monthly fees at the time of writing the report is from £340 to £400. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was a key unannounced inspection that took place on the 24th and 30th of April. The purpose of returning to the home on the 30th of April was to have a planned meeting with the manager to enable access to staff files and other information that could not be made available on the first day of the inspection. Five comment cards were returned to the Commission from relatives and one from a service user. All comments in these were generally positive although there were a couple of comments with regard staffing suggesting more staff would be preferable at busy times. A pre inspection questionnaire was sent to the manager for completion but the Commission never received a copy of this. The manager advised that one copy and later the original were sent but neither was received. On the days of inspection the Inspector was able to speak with residents, relatives, staff and management as well as inspect care plans, staff files, and other documents and have a tour of the building. The general feedback from residents was positive and all spoke positively about the staff and the environment. Staff generally were less satisfied feeling that there had been a general lack of support within the home and that they were not receiving the training, supervision and support they expected. Senior staff shortages and the manager having to spend time at other homes owned by Mr and Mrs Smart appeared to be the factors at the root of their dissatisfaction. This home has always offered a good service and, although residents remain generally happy with their care, there has been a decline in the management aspects of the home which is having an impact on the morale of staff working in the home. Redlands House DS0000060855.V338885.R02.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 manager has had to spend much of her time in the other two homes owned by Mr and Mrs Smart and this has not enabled her to fulfil her managerial role in full at Redlands. Formal supervision of staff is not taking place on a regular basis. No staff meetings have been arranged for some time. Staff training was difficult to track and it was hard to ensure that staff were receiving all the training they need. Staff were not always clear on how best to assist residents and for some staff moving and handling training was out of date or had not been completed. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 7 The system for looking after small ammounts of resident’s money was not working properly. The manager was not informing the Commission of notifiable incidents as required by Regulation 37 of the Care Home Regulations 2001. 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. Redlands House DS0000060855.V338885.R02.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 Redlands House DS0000060855.V338885.R02.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): 3 and 6 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are offered a pre placement assessment that should identify whether or not their needs can be met by the home. However, a failure to date and sign the assessment documentation and specific difficulties relating to one recently admitted resident, raise doubts as to the quality of this system. EVIDENCE: The care plans and assessment of three residents who had recently been admitted to the home were inspected. All had initial assessments completed but these were not all signed and dated by the person who completed the assessments. This meant it was difficult to be sure when the assessment took place. A recommendation has been made in this area. Information and assessment from health and/or social care professionals was seen on file. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 10 One of the service users who had recently been admitted was awaiting a diagnosis re their mental well-being. Since being admitted, nine days before the inspection they had, on two occasions, taken themselves out of the home and along a busy road without the knowledge of staff on duty. This could question whether or not this residents needs were appropriately assessed prior to admission. A thorough assessment of need should be made prior to admission. A requirement has been made in this area. The home does not provide intermediate care. Redlands House DS0000060855.V338885.R02.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 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are having their needs, and how to meet these needs, set out within a care plan. However, these could be more comprehensive to ensure the full range of needs are identified. Staff could be encouraged to consult care plans more frequently to ensure they remain uptodate on how individual need is to be met. Medication policy and practice is generally sound. Staff from other homes owned by the providers occassionally administer medication - the system could benfit from additional safeguards to minimise the additional risk entailed in this practice. Dignity and privacy are promoted in the home. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 12 EVIDENCE: Residents care plans were inspected. The format is good and has provision to include all the information needed to ensure that the reader was informed of how to care for the individual resident. They include a good front page with all general details that may be needed and a missing person page. One resident had been missing on two occasions but this was not updated on the missing person page. All areas of the care plan need to be reviewed and kept up to date. A requirement has been made in this area. Care plans included continence care, moving and handling, weight chart, skin care, medical care plan, social care plan, progress reports and some risk assessments. Some care plans were completed more fully than others. For example nutritional assessments had been completed for some residents and not for others. Some risk assessments were seen in care plans but for other residents where this would have been appropriate there were no risk assessments. As previously, some social history information was not easily visible inside a cover near the front of the care plan. There was no evidence to suggest that residents or their relatives had been involved in the creation of care plans other than social history information. One care plan that was looked at in detail evidenced good practice. Some concerns with regard care had been highlighted by a relative and ways of addressing these areas were seen in the care plan. This resident was fully satisfied with their care and there were visual prompts in their bedroom to encourage staff to meet the resident’s needs in a preferred way. Staff did not appear to be clear on how to move residents safely and some suggested they had difficulties assisting some residents from the chair to standing position. The home does not have a stand aid hoist although some staff felt this piece of equipment may help some residents. Several care staff felt there should be further guidance in this area. Within some care plans it was suggested that a hoist be used but this was not happening in practice. This area of care planning needs to be looked a further. A requirement has been made in this area. Staff did not seem to have any regular access to care plans and relied on information given to them by the senior heading the changeover at each shift. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 13 On the first day of inspection the senior carer administering medication was from another home in the company. It was only the second time he had administered medication in this home (although he had shadowed another senior member of staff on one occasion). He was not completely familiar with residents and there was no photograph of each resident on the MAR sheets. If staff from different homes owned by Mr and Mrs Smart are to administer medication, photographs would be good practice. A recommendation has been made in this area. On the Medication administration records seen there were some gaps and staff need to ensure that they always record details of administration given or not given. On the day of inspection the interaction between staff and residents appeared good and staff were treating residents in a way that promoted dignity and respected privacy. A comment card from a relative stated that her mother felt that she was respected. Redlands House DS0000060855.V338885.R02.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 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are offered a variety of activities that they may wish to take part in. Relatives are always made welcome in the home. Residents are provided with nutritious food in a comfortable setting that enhances their experience within the home. EVIDENCE: Since the deputy manager has been off sick there has been no one able to take residents out in the mini bus, as is usual, on a weekly basis and some residents were missing this regular activity. People come into the home to provide specific activities, for example, movement for health fortnightly, reminiscence, fortnightly, bingo weekly and quiz fortnightly. Care staff felt that the dependency level of residents had increased and that they had little time to get involved socially with residents. The one resident who responded with a comment card advised that there were activities to get involved in within the home. Some activity was taking place on the day of inspection. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 15 Service users are encouraged to be as independent as possible and one resident still drives her car. A relative spoken to said that they were always made welcome in the home and visited at different times on different days and always had a positive response. Another relative spoken to on the day of inspection was satisfied with her relatives care. She felt staff did all they could and were always polite and made her welcome. This view was supported by comments received from relatives The midday meal was observed on the day of inspection and this was well presented and nutritious with residents having a choice of what they had and where they ate their meals. Tables were well dressed and vegetable terrains on the table were seen as good practice. Redlands House DS0000060855.V338885.R02.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 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and relatives have the information made available to know how to make a complaint. The safeguarding adults policy that is in the home should protect service users from abuse but would be further complimented by all staff receiving training in this area. EVIDENCE: The home has a policy and procedures for dealing with complaints. Since the last inspection two relatives had contacted the Commission saying they were not satisfied with the way the manager had responded to concerns they had made to the home. These matters were eventually addressed but the concern was about the delay in response from the home. Residents spoken to said they would speak to the senior on duty or family if they had any concerns. Not all staff have received training with regard safeguarding vulnerable adults and this training should be encouraged. A recommendation has been made in this area. All of those staff spoken to said that they would always report poor practice. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 17 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, 23 and 26 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are living in a comfortable environment that meets their needs. They have the opportunity to spend their time in the communal areas or within their private accommodation. EVIDENCE: Private and communal accommodation is comfortable. The home has three lounge areas. Residents are able to use the outside area in warmer weather. Residents were satisfied with their private accommodation and only residents who are related or who choose to share are placed in the double rooms. All double rooms have screens or curtains. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 18 The dining area carpet is very stained and the manager informed the inspector that as this is relatively new they are addressing this issue with the manufacturer. The home was clean and tidy with no offensive odours. The manager did not have access to any form of maintenance plan for the home. The proprietor employs a handyperson who takes responsibility for the day-to-day maintenance issues with all three homes in the group. The proprietor has some plans for development of the home but these have yet to take place. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 19 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 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are cared for by a committed staff group who aim to provide good quality care. Not all staff had received the up to date mandatory training they needed to ensue that they could safely fulfil all aspects of their roles and responsibilities. There was evidence of safe recruitment and selection processes but one new staff member’s file could not be found and details of recruitment, induction and training not able to be inspected. EVIDENCE: Five staff were individually spoken to. Staff spoken to all felt that the health and personal care needs of residents had increased significantly and that they were very busy within their role. Two senior staff had been on sick leave for some time. One had returned to work in a different role and the other had not yet returned. This had put pressure on the senior staff in the home to work additional hours and senior staff from other homes owned by Mr and Mrs Smart were working some of these shifts. Staff felt that the manager of the home was often needed in the other two homes, which meant she was not available at Redlands. It is appreciated that this staff shortage may only be temporary, however the situation needs to be regularly monitored to ensure any adverse impact on residents is minimised. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 20 The pre inspection questionnaire sent to the home was not returned by the time of the inspection and it is not clear how many staff have NVQ Level 2. The manager was to forward this information to the Commission but this had not been received at the time of writing the report. A member of staff felt that several staff would be happy to complete NVQ level two but no one had been put forward for this in the last 12 months. It would be advisable that the manager devises a staff training profile to enable training needs to be monitored. A resident made the comment that on some nights there are two staff on duty who have little experience. This could be a new member of staff from the home and a member of staff from another home owned by Mr and Mrs Smart. A recommendation has been made in this area. Five staff files were inspected. One member of staff had recently become a senior member of staff but no evidence of an interview or additional training for the role was seen on file. There was no contract or statement of terms and conditions on file. An application form re her role as carer was seen on file and references. Evidence of some training was seen on file but no evidence of manual handling or medication training. It was later confirmed that this member of staff was in the process of completing a distance learning course re medication but was administering medication prior to her course being completed. A requirement has been made in this area. One member of staff had been involved in an incident concerning a resident and their file was requested to ascertain what moving and handling training they had participated in. The manager could not find the file and therefore it was not available to inspect. It was thought it may be at another home but was not found there. At the time of writing the report no file on this member of staff had been available for inspection. A requirement has been made in this area. Staff informed the inspector that there had been no staff meetings for several months. Staff spoken to felt that the opportunity for training had been less in recent months and that some training arranged had been cancelled. Some staff manual handling training was not up to date and there appeared to be no clear way of knowing when staff completed their mandatory training. Of those staff spoken to none had completed any safeguarding adults training. It is advised that a clear audit of training takes place to ensure that residents are in safe hands at all times. A recommendation has been made in this area. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are living in a home that has a registered manager who has the knowledge and experience to fulfil the role. Her need to be involved with other homes owned by the proprietors there has had a negative impact on her ability to fulfil her role in full at Redlands. The training needs of staff, general support and formal supervision are particular duties that have been neglected. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 22 EVIDENCE: The manager of the home is experienced and has the training and competence to fulfil her role. Due to the situation with regard the manager positions in other homes owned by Mr and Mrs Smart she has had to spend significant amounts of time dealing with issues in these homes. This appears to have had a detrimental affect on her role within Redlands. The quality assurance system in the home has not moved on since the last inspection. The proprietor has completed a Section 26 visit and this was made available on the day of inspection. Staff are not receiving regular formal supervision. Feedback was that staff received limited support from the manager, as she was often not available in the home. One member of staff suggested that they had not had formal supervision for at least a year. This has probably been highlighted more since the deputy had been on sick leave. A requirement has been made in this area. The home has recently started to look after small amounts of money for service users. Three residents had their looked after money audited and none were correct. It was believed this was due to basic administrative errors, so this area needs to be addressed. A requirement has been made in this area. Not all staff had manual handling training that was current. One staff member said that she had not received manual handling training for about five years. Staff felt that there was not always the appropriate equipment available for use in the home and that there were no clear guidelines with regard moving and handling. The home has only one hoist and staff felt this was not adequate. A requirement has been made in this area. Up to date fire training was seen on file and those staff who work in the kitchen have food hygiene training. The manager needs to ensure that she fulfils her responsibilities with regard the notification of incidents as described in Regulation 37 of the Care Home Regulations. A requirement has been made in this area. The manager is aware of the new common induction standards and new staff would complete this induction. Some induction information was seen on files and other information was with the carers. Redlands House DS0000060855.V338885.R02.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 x x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 2 3 3 3 x x x x 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 2 x 2 1 x 2 Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement Timescale for action 01/07/07 2 OP7 15.2 3 OP9 13.2 4 OP37 17.2 The assessment completed by the home prior to the admission of a service user needs to be comprehensive enough to identify a full range of needs. This will ensure that the home will be able to make an informed decision as to whether or not the home will be able to meet those needs. All aspects of a resident’s care 01/07/07 plan need to be reviewed and kept up to date. This will ensure that the appropriate care is provided as need changes. All staff administering medication 01/07/07 need to have completed the appropriate training. This will ensure that residents can be assured that all staff involved in the administration of their medication are trained to do so. Within the home there should be 01/06/07 a file for all staff that includes all of the information as identified in schedule 4 of the Care Homes Regulations 2001. This will ensure that all staff files are available for inspection. DS0000060855.V338885.R02.S.doc Version 5.2 Redlands House Page 25 5 OP35 17.2 6 OP36 18.2 7 OP38 13.5 The manager needs to ensure that if any resident’s money is looked after by the home the records are kept in good order. This will protect resident’s financial interests. Staff should receive formal supervision so that gives staff and management have the opportunity to address issues around practice, training and development. This will ensure that staff receive all of the support, training and encouragement needed to fulfil their role in full. All staff need to have up to date moving handling training and be clear on how to assist residents with their mobility in a safe way. This will ensure that residents and staff are protected from harm when moving and handling is being carried out. The manager needs to ensure that she informs the Commission of all of those incidents and occurrences that are identified in Regulation 37. This will ensure that the Commission is informed of all notifiable incidents as appropriate. 01/07/07 01/07/07 01/07/07 8 OP38 37 01/06/07 Redlands House DS0000060855.V338885.R02.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. 2. 3. 4 5 Refer to Standard OP3 OP9 OP18 OP27 OP30 Good Practice Recommendations The date on which an assessment of a prospective resident takes place should be noted on the assessment form. If senior staff from another home are to administer medication it may be seen as good practice to have photographs with MAR charts for accurate identification. It would be good practice for all staff to receive training with regard the safeguarding of vulnerable adults. It would be good practice to ensure that at least one of the night staff on duty is familiar with the home and individual residents. It would be good practice for the manager to devise a training profile enabling her to monitor what training has been completed and what further training needs to be completed or updated. Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Redlands House DS0000060855.V338885.R02.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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