Inspection on 12/07/06 for Rose Lodge

This inspection was carried out on 12th July 2006.

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.

Other inspections for this house

Rose Lodge 16/01/10

Rose Lodge 29/07/09

Rose Lodge 29/07/08

Rose Lodge 07/03/08

Rose Lodge 20/06/07

Rose Lodge 09/12/05

Rose Lodge 08/09/05

Rose Lodge 09/06/05

Rose Lodge 31/01/05

Rose Lodge 24/08/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOMES FOR OLDER PEOPLE The Mulberry Residential Home [formerly The Grange] The Mulberry Residential Home 2 Isca Road Exmouth Devon EX8 2EZ Lead Inspector Sue Dewis Key Unannounced Inspection 12 & 20 July 2006 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 The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Mulberry Residential Home [formerly The Grange] The Mulberry Residential Home 2 Isca Road Exmouth Devon EX8 2EZ 01395 227071 Address 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) themulberry@btconnect.com Eminence Care Ltd Mr William Stanley Warr Care Home 25 Category(ies) of Dementia (25), Dementia - over 65 years of age registration, with number (25), Mental disorder, excluding learning of places disability or dementia (25), Mental Disorder, excluding learning disability or dementia - over 65 years of age (25) The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th December 2005 Brief Description of the Service: The Mulberry is registered to provide accommodation and personal care for up to 25 older persons with a dementia type illness. They may also care for older persons with mental health problems. The property is a large detached and extended house in a secluded residential area of Exmouth. The home is approached by a private driveway, has pleasant secure gardens and parking on site. The accommodation is arranged over the first and ground floors, with a passenger lift to the first floor. The home has 21 rooms for single, and 1 for double occupancy. The lounge and dining areas are designed in an open plan arrangement and are situated on the ground floor. The current weekly charge is £405 per week. Items not included in the fee include chiropody, hairdressing and clothing. CSCI Inspection reports are available on request from the manager. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one and a half days in July 2006, with the inspector spending approximately ten hours at the home. The home had been notified that an inspection would take place within three months and had returned a pre-inspection questionnaire, information from which was used to write this report. Comment cards were sent out to 11 residents and their representatives, 7 staff, 7 GPs and one care manager. At the time of writing the report replies had been received from 2 GPs, 5 relatives, 4 staff and three residents, who were assisted by an advocate. During the inspection 3 residents were case tracked. This involves the inspector looking at the residents’ individual plans of care, and speaking with the resident and staff who care for them. This enables the Commission to better understand the experience of residents living at the home. The inspector spoke with three residents, three relatives, three staff and the manager. A tour of the building was undertaken and some residents’ rooms were looked in. A number of records were inspected including residents’ plans of care, the fire log book and staff recruitment files. The inspector spent some time sitting in the residents’ lounge observing staff and resident interaction and the general life within the home. What the service does well: What has improved since the last inspection? Since the last inspection health and safety matters have improved, including infection control procedures, and there is now sanitising hand gel in bedrooms. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 6 In order to minimise risk of burning a new thermostatic valve has been fitted to taps and a free-standing heater has been removed from a resident’s room. So that residents are protected from the risk of abuse, all required information relating to staff is now in place prior to them commencing work unsupervised at the home. All staff have now also received POVA (Protection Of Vulnerable Adults) training. A record of all meals taken by residents is now kept in order to ensure their adequate nutritional intake. What they could do better: 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 Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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 the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are assured that their care needs can be met. EVIDENCE: Three residents’ files were inspected. All three contained good detailed preadmission assessments and risk assessments that form the basis for the resident’s care plan. Two of the three residents remembered that they had visited the home prior to moving in, but the third was not able to answer the question. Relatives that were spoken with said that they had visited the home, spoken with the manager and assured that the home could meet the needs of their relatives prior to admission. The home does not provide intermediate care. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans do not always give staff clear information to enable them to meet the health and social care needs of the residents. Personal support in this home is not always offered in such a way as to promote and protect residents’ privacy, dignity and independence. The health needs of residents are generally well met with evidence of multi disciplinary working taking place. The systems for the administration of medication are generally good, with clear arrangements in place to ensure residents’ medication needs are met. EVIDENCE: Three residents’ care plans were inspected. The plans are kept in the resident’s room and they contained some clear directions to staff on the day-to-day care needs of the residents. However, the plans do not flow easily and the reader The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 10 has to flick backward and forward through the plans to find the necessary care instructions. Despite the majority of residents having specific communication needs due to their level of dementia, there was no reference to this in their care plans. Limited social history was recorded that could help staff gain an insight into what the resident likes to do during the day or what they may be trying to communicate. Daily records are kept for each resident. However, these are not always useful in describing how the resident has spent their day, or any issues that may have been raised. There was a lot of comments such as ‘good day’ or ‘usual day’ with no reference as to what a ‘good’ or ‘usual’ day for that particular resident is. The manager showed the inspector one care plan that was slightly different and was much easier to read, being written in the first person and gave a good social history of the resident. The manager said that he was thinking of changing all the care plans to be like this. The plans contained good risk assessments that included nutrition, falls and pressure areas. Two of the three residents spoken with said that they didn’t see the GP very often but were happy with the care they received when they did. No issues were raised by either GP that returned comment cards. From care plan records it was possible to track where a health issue had been identified and remedied. Concerns had been raised with CSCI about inappropriate referrals to the local MIU (Minor Injuries Unit) and the lack of staff available to accompany residents who are sent there. The manager felt that the inappropriate referrals may be due to a member of staff who was being ‘safe rather than sorry’. He accepted that there are times when staffing levels are such that there is no-one available to accompany residents to the unit. The manager is taking steps to ensure these situations do not occur again. The home uses the Boots MDS system and they have recently purchased a trolley to keep medicines safe when they are being administered. All medicines are securely stored and in general procedures were good. However, the administration records for two sets of medicines had not been signed for at lunch time. In line with the home’s policy and procedure all medicines received into and returned from the home are counted and recorded, and all staff who administer medicines have received training from Boots. The privacy and dignity of residents was not always respected. Though some staff were seen to offer personal care in a respectful manner, one was seen indiscreetly wiping residents’ mouths following lunch. Some residents were seen walking around the home with nothing on their feet, and several ladies were looking unkempt with food stains on their clothing, dirty fingernails and The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 11 their hair not combed. One gentleman was being helped into a wheelchair in the lounge with his dressing gown open and his underpants showing. Staff did tell the inspector that when undertaking personal care they always told the resident what they were going to do, and ensure that they were discreetly clothed. The manager said that he was constantly reinforcing the importance of maintaining the privacy and dignity of residents, to the staff. Concerns had been raised with CSCI from a healthcare professional, who had felt that the dignity of a resident they had been visiting had been compromised. The manager said that he had interviewed staff about this incident and they had assured him that they always respected the privacy and dignity of residents. The same person was also concerned that a member of staff did not have a key to access this resident’s room, and thought the resident may have been locked in their room. The inspector saw the locks on bedroom doors, and it is not possible to lock a resident in any room that has that type of lock fitted. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are able to maintain support with family and friends. The home does not offer a suitable range of activities and entertainments to stimulate and occupy residents. Meals are nutritious but improvements could be made to ensure that mealtimes are adequately supervised. EVIDENCE: Limited interaction was observed between residents and staff. There was a general lack of stimulation for residents throughout the inspection, with most sat in the lounge, dozing. Staff told the inspector that though they were sometimes able to spend quality time with residents, this was not always possible due to staff sickness and the consequent drop in staffing levels. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 13 Comments received from a relative indicated that they felt there should be more activities available. The home does employ two staff to organise regular activities, but they were both on holiday and there were no records available to show the type of activities that take place. The manager told the inspector that there are usually activities on a Thursday afternoon, but these have not happened recently because of staff shortages. Entertainment is arranged from time to time, including visits by the Donkey Sanctuary and sing-alongs. A nondenominational minister visits the home and spends time chatting with residents as well as offering religious services. Though residents are not always able to communicate their needs, one did tell the inspector that there was ‘nothing really to do’ and another said ‘we just sit where you see us’. However, another resident did say that they enjoyed watching the TV and knitting and all three were happy at the home, saying ‘it’s a good place to live’ and the staff ‘help make life pleasant’. The inspector spoke with three relatives, who said that they visited regularly and are always made to feel welcome at the home. They were all happy with the care provided to their relatives and felt that the staff are ‘marvellous’. The inspector was told that regular relatives meetings are held and any day-to-day concerns they may have are dealt with straight away, also that the owner and manager are always open to suggestions. Staff told the inspector that they always offer choices to residents where possible, and if this was not possible they used their knowledge of the resident to provide what staff knew they had enjoyed previously. Where likes and dislikes have been identified these have occasionally been recorded on the residents’ care plans. The three residents that were spoken with all said that they enjoyed their food and were happy with the meals provided. A record of food taken by individuals is maintained in order to ensure residents who may eat at irregular times take in sufficient quantities of food. The cook told the inspector that she uses her knowledge of the residents’ likes and dislikes when preparing the menu. The dining area has recently been redecorated and new chairs have been purchased. Several residents, who need assistance with eating, do not sit at the tables but eat their meals in their lounge chairs. The inspector observed lunch being served. Several residents who were sat at the tables had to wait for some time before they received their different courses and this led to one or two getting up from the table before they had finished and staff having to bring them back to finish their lunch. There was no overall supervision of the residents throughout the lunch time period, which led to some residents having to wait for long periods between courses and others being disrupted by residents who were wandering about. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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 the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are handled correctly and provide residents and their relatives with confidence that their concerns will be listened to and acted upon. Staff training and awareness in adult protection issues ensures residents are protected from the risk of abuse. EVIDENCE: Two concerns had been raised with CSCI by healthcare professionals, and one had been passed to the provider to investigate. The other, as agreed with the person raising the concern, was looked at during this inspection. The inspector felt that the provider had dealt with both concerns satisfactorily, and will be putting measures in place to ensure the issues do not reoccur. See also the evidence outlined in Standards 8 and 10. All three staff spoken with, including the cook, had received training in POVA (Protection Of Vulnerable Adults) issues. They were able to describe to the inspector different types of abuse and what actions they would take if they suspected abuse was occurring. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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 the following standard(s): 19, 20, 23 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home generally provides residents with a clean, safe, comfortable and homely place to live. Though there are some areas of the home where the standard of décor is poor. EVIDENCE: The inspector did a tour of the communal areas of the home and sat with two residents in their bedrooms. Generally the home is comfortable and reasonably well maintained and the dining room has recently been decorated. However, there are areas around the home, including corridors and doorways, where the paintwork is scuffed and chipped. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 16 The lounge area is pleasantly arranged with chairs in small groups and the garden is accessible and secure. There are attractive photographs on the walls around the home that were taken by a relative. Though there are some signs on doors this could be improved in order that residents may be able to identify different areas around the home. Residents’ rooms contained personal items and reflected the personality of each individual. The home was generally clean and smelled pleasant throughout. However, there were some areas, especially bedrooms that were very dusty and where the floors needed vacuuming, giving the appearance that the home needed a thorough ‘spring clean’. Rooms that were inspected contained hand sanitizer to help prevent the spread of infection at the home. Laundry facilities at the home are suitable, but the laundry floor does not have an impervious floor covering which could lead to infection control procedures being compromised. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are not always enough staff on duty at the home to satisfactorily meet the needs of the residents. The procedures for the recruitment of staff are robust and offer protection to residents. Though staff receive good levels of training, this does not always ensure they are able to satisfactorily meet the needs of residents. EVIDENCE: There are usually four care staff and the manager or a senior on duty each morning. Staff reported that at this full complement, staffing levels are adequate. However, there were often times when staff were sick or on leave, and agency staff are not used, and then mornings were very busy, as on the two days of inspection, (see also Standard 10). Staff said that they would like to be able to spend more quality time with residents, but this was not possible when they were short of staff. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 18 There has been a vacancy at the home for some time, and though adverts have been placed, no one has been found suitable. The manager told the inspector that agency staff were not used, as it often takes more than one shift for them to become acquainted with the residents. Staff have the opportunity to work towards NVQs if they wish. Five staff have already obtained NVQ 2 and three are working towards this. One has achieved NVQ3 and another is working towards NVQ 4. Three staff files were inspected. All contained the required information, including two written references and satisfactory CRB (Criminal Records Bureau) checks. Staff told the inspector, and copies of certificates were seen to confirm, that they had received a variety of training. Courses include First Aid, Fire Precautions, and Dementia Care Awareness. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well managed resulting in some practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: The manager has worked at the home for some time. He is a registered nurse and has many years experience of working with older people and those with mental health problems. Staff told the inspector that they feel the manager is very approachable and supportive to them. However, the issues surrounding the impact of staff absences does not appear to have been adequately addressed. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 20 There is a quality assurance system in place at the home, but it has not yet been reviewed for this year. The system includes sending questionnaires to a variety of interested parties and obtaining feedback from relative’s meetings. One relative told the inspector that several issues that had been raised at meetings, such as the quality of some furnishings and fittings, had been addressed immediately. No money is held on behalf of residents. Any monies due for items not included in the fees are billed on a monthly basis. Staff receive regular recorded supervision approximately every two months. The inspector saw good records, signed by staff, that indicate they are being set clear objectives in their work. However, staff do not always appear to be understanding of the managers expectations of the standard required in relation to respecting the privacy and dignity of residents, (see also standard 10). The accident book was seen and was appropriately maintained. There were gaps in the records of the Fire Log book. Though the manager assured the inspector all necessary checks would have been carried out, there was no evidence to support this. So that the risk of burning from hot surfaces is minimised, there is a programme to ensure all radiators within the home are guarded by October 2007. In line with this programme two radiators have recently been covered. The manager said that all windows above ground floor level are fitted with restrictors, in order to minimise the risk of any resident falling from these windows. A new valve has recently been fitted to the hot water taps in a resident’s bedroom to avoid the risk from excessively hot water. The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X 3 X X 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 2 3 3 X 3 3 X 2 The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 22 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. Standard 1 OP10 Regulation 12 (4)(a) Requirement Timescale for action 04/09/06 2 OP12 16(2)(m) 3 OP27 18(1)(a) You are required to ensure the care home is conducted in a manner which respects the privacy and dignity of the residents (this relates to the unkempt appearance of some residents and the way in which certain staff approached residents) You are required to make 04/09/06 arrangements to enable residents to engage in local, social and community activities. You are required to ensure that 04/09/06 having regard to the size of the care home, the statement of purpose and the number and needs of service users, that at all times suitably qualified, competent and experienced persons are working in the care home in such numbers as are appropriate for the health and welfare of service users The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 23 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 6 7 8 Refer to Standard OP7 OP7 OP9 OP15 OP19 OP26 OP38 OP38 Good Practice Recommendations You are recommended to ensure that the residents’ means of communication are recorded You are recommended to ensure that daily recordings contain useful information You are recommended to ensure all medicines are correctly signed for when administered You are recommended to ensure that mealtimes are adequately supervised You are recommended to ensure that all parts of the home are reasonably decorated You are recommended to ensure that the laundry has an impervious floor You are recommended to ensure that the programme for all radiators to be guarded by October 2007 is continued. You are recommended to ensure all records relating to fire precautions are correctly maintained The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 The Mulberry Residential Home [formerly The Grange] DS0000059793.V293149.R01.S.doc Version 5.1 Page 25 - 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!