Inspection on 06/09/07 for Rose Bank Care Home

This inspection was carried out on 6th September 2007.

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

Rose Bank Care Home 03/10/06

Rose Bank Care Home 22/11/05

Rose Bank Care Home 11/05/05

Rose Bank Care Home 07/09/04

Rose Bank Care Home 17/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Rose Bank Care Home 48 Station Road Scholes Leeds West Yorkshire LS15 4BT Lead Inspector Paul Newman Key Unannounced Inspection 6th September 2007 09:15 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 Rose Bank Care Home DS0000001424.V350145.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. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Bank Care Home Address 48 Station Road Scholes Leeds West Yorkshire LS15 4BT 0113 265 0027 F/P 0113 265 0027 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) Mr Franklin Ronald Brown Mrs Lorna May Brown Mrs Lorna Brown Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2006 Brief Description of the Service: The home is situated north of Leeds and is a large house with three single and one double bedroom on the ground floor, and six single and one double room on the first floor. Access to the first floor is by means of a stair lift for people unable to manage the stairs. Prospective residents need to have a mobility risk assessment done prior to admission to ensure they would be safe on the stairs. There is a call system throughout the home. People are welcome to bring their own furniture and possessions with them if this is their choice. Nursing care is not provided by the staff at the home but they are supported by the local healthcare teams including GPs, community nurses and if required specialist services. There are plans to extend the home in the future to improve accommodation and offer more space. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk. The last inspection was carried out in October 2006. This report is of a key inspection, made on an unannounced basis. One inspector made the visit to the home and spent five hours on site. Key inspection reports are available on the CSCI website. The inspection process is ongoing and the home has been monitored since the last inspection through information required to be sent to the CSCI about significant events. About two months before the inspection visit, the Provider was sent an Annual Quality Assurance Assessment (AQAA) to complete. This contains a lot of information that helped in planning the site visit. Survey questionnaires were also sent out to people living at the home and their relatives, staff and a healthcare professional. The results of these also helps in gaining an overview of the services provided at the home. During the site visit records were checked, a tour of the premises was made and staff on duty were spoken with. A community nurse was spoken with as well as the people living at the home. The homes weekly charges are £397. This does not include hairdressing or private chiropody. The figure was provided at the time of the inspection. What the service does well: The home is well managed and the interests of the people who live there are the main concern of the manager and staff. The staff are well organised. They are experienced, and have a good knowledge of the people they care for. The staff are committed to training and the home exceeds targets that have been set for the numbers that should have a National Vocational Qualification (NVQ). Relationships are good and people are confident in the staff. People feel safe, ‘at home’. Comments made in CSCI surveys that were returned were generally positive and these are some that reflect what people think of the care: Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 6 ‘They care for my husband very well’. ‘The personal attention is very good’. ‘The staff are very friendly and patient’. ‘I have every trust in the carers looking after my husband’. ‘I feel that all aspects of the care given to my Mum are more than acceptable’. What has improved since the last inspection? What they could do better: Much hinges on the building of a new extension and improvements to the existing building. These are now scheduled to start in January and the owner/manager gave reassurance that this is a definite agreement with the builder. This work will include some matters that currently let down the general standards in the existing building. Whilst some of this has been mentioned in previous reports it is acknowledged that the issues below are best done as a ‘job lot’ with the extension. The outstanding issues are: • • • • • Window frames must be attended to or replaced. Vanity units throughout the building must be checked and repaired or replaced. The kitchen must be refurbished. The dining room must be refurnished. The lounge carpet must be replaced. New issues are: • A tile dislodged at the front of the building that must be attended to by the end of October 2007. DS0000001424.V350145.R01.S.doc Version 5.2 Page 7 Rose Bank Care Home • The condition of the fire door on the ground floor escape route is poor and needs to be checked on a regular basis. Recommendations that are made include more detailed daily recording, better recording of the visits made by the chiropodist, recording of activities and consideration of installing additional electric sockets to bedrooms during the building work. 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. Rose Bank Care Home DS0000001424.V350145.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 Rose Bank Care Home DS0000001424.V350145.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): 3. Standard 6 does not apply to this home. People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. Peoples’ needs are properly assessed before admission. EVIDENCE: From the discussions with the deputy manager and checks made of three files it showed that pre admission assessments are made before people come to live at the home. One of the files checked was for a person who had recently been admitted. The information provided before the inspection visit that was summarised in the Annual Quality Assurance Assessment (AQAA), showed that all people considering coming to live at the home and their relatives are seen personally and a visit to the home is arranged when at least the relatives and, if possible, the prospective service user can see the room available and general facilities. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 10 Apart from the home’s own assessment documentation, other information is gathered from any social worker or healthcare professionals that have been involved. Easy care documentation was on file. Risk assessments are also made before a person is admitted and were on file. From this information, if the home believes it can meet the person’s needs, a plan of the care needed is written. Once living in the home, individuals’ progress is monitored to make sure that care needs are met. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. The care plans provide clear instructions for staff to follow making sure that health and personal needs are met. The people at the home are treated with respect and dignity. EVIDENCE: The files that were checked showed that care plans are drawn up and reviewed regularly. The plans are based on a pre admission assessment carried out by the manager and/or deputy and other information like easy care documentation and the three files checked showed that the care plans that had been written accurately and all the persons needs had been identified. Shortterm care plans are used when a person is in need of additional monitoring such as treatment for an infection. Specific health care needs were well documented and audit trails of staff observations and concerns that they document about an individual’s health Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 12 problem could be followed with any subsequent referral to the GP or other health care professional. The advice and treatment that was given by healthcare professionals was noted on the file. Whilst this was good, general day-to-day recording was brief and focused on food and the general mood of the person, e.g. ‘ate well and had a good day’. These could be improved to identify what has been done to meet specific care needs identified on the care plan and also to give a picture of what activities the person has been doing. A recommendation made in the last inspection report that visits made by the chiropodist are recorded on the healthcare professional visits sheet has not been taken up, but this will help and make things easier to check that people are getting the foot care they need. A community nurse visited at the time of inspection to treat three people. She was able to spend some time talking about the home and staff practices and also returned a survey questionnaire. The written comment about what the home does well stated: ‘Staff always inform me at the first sign of a patient with a pressure damage to prevent pressure ulcers. The home provides a caring environment. Request GP to visit if there are any concerns. Ring me to assess if they have concerns regarding patient or advice on equipment’. At the time of writing this report six surveys completed by relatives had been returned. These were generally very positive. Some written comments made were: ‘They care for my husband very well’. ‘The personal attention is very good’. ‘The staff are very friendly and patient’. ‘I have every trust in the carers looking after my husband’. ‘I feel that all aspects of the care given to my Mum are more than acceptable’. One survey made some more critical comments that the home must take note of. This was in connection with a visitor being upset and disappointed in finding their relative in ‘a smelly and dirty room looking uncared for’ on a number of occasions. Although this was not observed or experienced at this inspection visit, and not reflected in other surveys, it is important that staff take note of this relative’s feelings. The critical comments were balanced with some positive comments about the staff and other aspects of care. During the inspection visit and a further visit made a week later staff practices were observed. They were attentive to people and some overheard conversations showed staff to have a nice manner that people appreciated. Staff were good at encouraging people and careful to make sure that doors were closed at times when personal care was given. Most of the staff have worked at the home for a considerable period of time and know the care needs of the people living there very well. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 13 The medication administration charts were checked these were error free and staff practices were observed and discussed with the deputy manager. The home uses the Boots system and is supported by the company with regular audits made and sound returns procedures. Methods of ordering and checking drugs in were discussed. Should any person wish to self medicate, there is a procedure in place that has risk and protection elements to make sure the person is safe. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. Peoples’ social expectations and personal preferences are met and they are able to exercise choice in their daily routines. People living at the home are provided with a varied and nutritious diet. EVIDENCE: The home has twice weekly activity sessions with an activity organiser who the manager said makes a good job of motivating people to take part. ‘Motivation and Co’ visits monthly and encourages people to take part in more physical activities. The local Methodist Minister holds a service at the home each month, the Roman Catholic lay Priest gives communion fortnightly and Jehova’s witness visit monthly which currently covers all the faiths of people living at the home. During the summer months outings are arranged. Although no visitors were spoken with during the inspection it was clear from the survey results that were returned that visitors are welcomed into the home and can visit their relative or friend in private if they wish. They felt that they Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 15 are kept informed of important things that crop up and that they are consulted and kept informed about changing care needs. It was clear from the discussions with staff and conversations with people they care for that individual likes, dislikes and preferences are sought and met. This includes getting up and going to bed when you wish, what you wear each day, the foods you like or don’t like, whether you want to spend time alone in your room and what activities you get involved in. The people living in the home continue to talk positively about the food provided. The menus are traditional English food and although they are asked regularly this is much the preferred option for all of the residents spoken with. They said that the meals are good, they have plenty and that they have a choice. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. There is a clear complaints procedure available to the people at the home. The people who live at the home feel confident that they will be listened to and that appropriate action will be taken when necessary. There are adult protection procedures which staff have awareness of and understand and people can be assured that they can feel safe at the home. EVIDENCE: It is was clear from the conversations with people living in the home that they feel that all the staff are very approachable. People said that any requests were always listened to and surveys returned indicated that relatives are of the complaints procedure. Policies are in place that set out how the home protects service users and prevents harm or abuse. This includes a whistle blowing policy. The manager was aware of the need to report any suspected or alleged abuse to the local authority and other relevant authorities. Some issues in respect of one person living at the home were dealt with separate to the inspection and the manager has been given clear advice on what to do. Rose Bank Care Home DS0000001424.V350145.R01.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 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. People living at the home are comfortable but the environment needs significant improvement and refurbishment. EVIDENCE: It was disappointing to find that planned improvements to the home had not started and are now scheduled to begin in January 2008. The general appearance both outside and inside is ‘run down’ although bedrooms are generally better. It was recognised in the last inspection report that it made sense to include the refurbishment of the existing building with the plans to build on some Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 18 additional bedrooms and extend the building, but because no cosmetic work has been done in the last year, the home really does not provide the standards it must. The lack of office and storage space means that the dining room ‘doubles up’ and was looking untidy and cluttered. Certainly not a pleasant environment to eat in. The last inspection reported noted the following from the tour of the premises: • • • • • Window frames must be attended to or replaced. Vanity units throughout the building must be checked and repaired or replaced. The kitchen must be refurbished. The dining room must be refurnished. The lounge carpet must be replaced. This remains the case and the decorative order has deteriorated. Other items noted during this inspection visit were a tile dislodged at the front of the building that must be attended to and the condition of the fire door on the ground floor escape route is poor and needs to be checked on a regular basis. In recognising that the work is scheduled with a builder to start in January 2008, in the interim period, the manager must make sure that the building is safe and free from health and safety hazards so must make regular checks to make sure this is the case. The home has been successful in a bid for a Local Authority improvement grant and has included in the development plans to build a conservatory. Rose Bank Care Home DS0000001424.V350145.R01.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 the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. People living in the home are cared for by experienced staff who are trained in safe working practices. EVIDENCE: There has been no staff turnover in the last 18 months. In the conversations with people living at the home they reinforced information that had been provided in the AQAA. This is a healthy picture of a stable staff team that the people have got to know well and trust. The rotas showed enough staff on duty to meet the needs of individuals. Dependency levels of people living in the home are variable and this was discussed with staff who said that they always ‘flag up’ when they feel someone is getting to the point where they cannot care properly for them or the time taken for the care impinges on other people. A typical comment made in the surveys that were returned said ‘the staff are kind, cheerful and caring’. The staff know the individuals well and observations made showed they are cared for in a consistent and personalised way. The personnel records for two staff were seen to make sure that the appropriate checks had been made and the other documentation that must be Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 20 sought before someone starts work was completed. case. This proved to be the The home makes sure that new staff follow the ‘skills for care’ induction training programme. There was evidence of this in the staff records and also evidence of ongoing training to keep staff up to date with safe working practices. Some updates are planned in the autumn after the peak holiday period. The home exceeds targets set for the number of staff who should have a National Vocational Qualification (NVQ). Rose Bank Care Home DS0000001424.V350145.R01.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 and 38. People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. The home is well managed. The consistent management approach gives everyone working at the home a clear understanding of the home’s aims and objectives. The interests of the people living there are the main concern of the owners and staff. Safety checks and systems of communication make sure that the home is a safe place to live. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home’s owner also manages the home on a day-to-day basis and is well supported by her deputy. Although part way through the Registered manager’s Award she has made a decision not to continue and will be proposing the deputy manager to become registered manager. The deputy manager has previously been a registered manager. The stability of the staff team is an indicator of a settled and happy staff team. They receive regular one to one supervision and there are regular staff meetings. There was a good atmosphere in the home and some friendly banter amongst the staff team. The manager has not conducted a satisfaction survey and this is due but it was agreed that the CSCI surveys would be used and the home conduct a further survey on the completion of the building works. The home is small enough for the people living there to express their views comfortably on a one to one basis and staff were observed regularly checking that residents were happy and settled. Each person has a safe in their bedroom where they can keep money and valuables. Some money is held by the home for safekeeping for about half of the people. The records of one of these were checked and cash reconciliation made. This was correct and the record was supported by receipts. The information provided in the AQAA showed that regular checks are made of equipment and services to make sure that everything is safe and in good working order. Staff have access to all essential policies and procedures and are trained in safe working practices. Checks were made of the fire safety records these were up to date. Rose Bank Care Home DS0000001424.V350145.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rose Bank Care Home DS0000001424.V350145.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 OP19 Regulation 16 and 23 Requirement The following issues must be addressed and included when work starts on the planned extension: Timescale for action 01/08/08 2. OP19 16 and 23 Window frames must be attended to or replaced. Vanity units throughout the building must be checked and repaired or replaced. The kitchen must be refurbished. The dining room must be refurnished. The lounge carpet must be replaced. A tile dislodged at the front of 31/10/07 the building that must be attended to and the condition of the fire door on the ground floor escape route is poor and needs to be checked on a regular basis. Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 25 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. Refer to Standard OP7 Good Practice Recommendations More detailed daily recording should be completed to fully show that catheter care plans are followed and regular monitoring is done. Although care by the chiropodist could be evidenced it was recommended that this is also recorded on the same record as other health care professional visits. The home should record activities to reflect what individuals have been involved in. Consideration should be given to putting some additional electric sockets in bedrooms to avoid the use of extension leads. OP8 OP12 OP19 Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Rose Bank Care Home DS0000001424.V350145.R01.S.doc Version 5.2 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. 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