Inspection on 29/08/07 for Sandiway Manor

This inspection was carried out on 29th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Sandiway Manor 23/12/09

Sandiway Manor 07/08/06

Sandiway Manor 15/11/05

Sandiway Manor 06/05/05

Sandiway Manor 20/01/05

Sandiway Manor 06/08/04

Sandiway Manor 18/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sandiway Manor Norley Road Sandiway Northwich Cheshire CW8 2JW Lead Inspector Sue Dolley Unannounced Inspection 29th August 2007 09:45 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 Sandiway Manor DS0000006605.V343800.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. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandiway Manor Address Norley Road Sandiway Northwich Cheshire CW8 2JW 01606 883008 01606 301764 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) Cheshire Residential Homes Trust Mrs Jacqueline Gregson Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 29 service users, within the category of old age (OP) may be accommodated 7th August 2006 Date of last inspection Brief Description of the Service: Sandiway Manor is a care home owned by the Cheshire Residential Homes Trust, a charitable organisation that runs three care homes for older people. Each home is independently run by a committee. The fees at Sandiway Manor are £385.00 per week. The home is in the village of Sandiway, approximately three miles from Northwich. There are a number of shops, a church and other facilities located in the village. There are adequate car parking facilities available at the home. Sandiway Manor was formerly a private house that has been renovated and extended for use as a care home. Sandiway Manor is a three-storey building; residents are accommodated on the ground floor and first floors only. Access between floors is via a passenger lift or the stairs. There are 28 single bedrooms, for residents and all of these rooms have toilet facilities and washbasins fitted. A further bedroom is available as a guest room. This room does not have toilet facilities. Day space consists of 2 lounges and a dining room. There are sufficient numbers of toilets to meet the required standard. There are aids throughout the home to help residents remain independent, including bath hoists, grab rails and in an emergency call bell system. There are large enclosed mature and pleasant gardens with walkways and sitting areas available to people living at the home. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit took place on 29th August 2007 over seven hours to assess if service users’ needs were being met. Prior to the site visit the registered manager had completed an Annual Quality Assurance Assessment form to provide up to date details of the service it provides. Some contact information requested by the inspector was not supplied on time and as a consequence survey forms to gather peoples views had to be sent out after the inspection. Time was spent talking with three people who use the service to gain their views about the care and support received. Their comments along with comments taken from survey forms received after the inspection have been used to represent peoples views about the care and support provided by Sandiway Manor. A tour of the building was undertaken to assess its suitability to provide a comfortable, homely and safe environment for people cared for and staff. The tour included five bedrooms, shared areas such as lounges, the dining area, bathrooms, toilets and the kitchen and laundry areas. Two members of the management team and several care staff contributed to the inspection process. What the service does well: What has improved since the last inspection? Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 6 Staff members continue to train to achieve appropriate qualifications and to improve their understanding and knowledge base. Recent and future training plans show continued commitment to undertake relevant training and staff are enthusiastic and keen to learn. The home has an attractive and well -presented home brochure to advertise the provision and to inform potential residents of the care and support available. Quality assurance questionnaires have been distributed and the results of the survey have been made available. Additional staffing has been made available in the early evening to ensure all needs, can be made in an unhurried way. Staff members have recently been provided with name badges to help residents and visitors identify staff by name. Staff members are soon to be provided with tunic tops as a form of uniform to aid recognition. 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 summary of this inspection report can be made available in other formats on request. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 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 Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides people with detailed and accurate information to help them make an informed choice about the provision. The needs of people are carefully assessed to ensure they can be met at the home. EVIDENCE: The home has an attractive and well -presented home brochure to and describe the provision and to inform potential residents of the support available. Meetings are arranged with prospective residents family members to explore needs and to ensure they can be information booklet is provided in each bedroom. advertise care and and their met. An Each person is admitted on a trial basis and a post admission questionnaire is completed to ensure people are satisfied with the environment, their care and support. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 9 The statement of purpose was updated in July 2006. It provides details of the ‘The Cheshire Residential Homes Trust’, details of staff qualifications, information about the aims and objectives of the home and the criteria for admission, is explained. A description of the home is included and details of the complaints procedure are provided. A comprehensive service user guide provides a welcome to the home and provides useful information about the menu, mealtimes, arrangements for chiropody and hairdressing, weekly entertainment and other facilities. Three initial assessment documents and care files were checked. The initial assessment documentation identified all care needs and provided evidence, of a thorough assessments process prior to people moving into the home. Care had been taken to gather information from a number of sources to ensure that all needs were identified and could be addressed. The prospective resident, their family carers, social work and health professionals had been contacted to contribute information and to gain information about each individual so that staff members could get the know each person well. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are promptly assessed, addressed and met and people using the service are referred to health professionals as appropriate. There is need for improvement in the recording of medication to ensure people receive their medication as prescribed. Peoples’ wishes regarding terminal care and arrangements after death need to be recorded to ensure their wishes can be met and their death handled with propriety. EVIDENCE: The three care plans checked were positively written to identify strengths and abilities and to provide clarity about areas were support would be needed. The necessary intervention required was fully explained and the recordings provided evidence of planned and individualised care and support. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 11 Each care plans had been agreed with the person cared for and their relatives and risk assessments were in place as appropriate. All changes to health had been noticed at an early stage and closely monitored, with appropriate action taken to alert health professionals to gain support. The care files contained full information about past and current medical conditions and all contact with health care professionals was thoroughly recorded with outcomes shown. The daily records of care had improved since the last site visit with fuller information provided about the frequency and extent of care given and to include details of each persons wellbeing. Each care need had been reviewed at regular and appropriate intervals and risk assessments had been completed when necessary to help to eliminate and reduce risks. The medication administration records for the periods 30th July to 26th August 2007 and 27th to 29th August 2007 were checked. It was evident that individual assessments had been completed to ensure residents were enabled to continue to administer their own medication when possible. This was well documented and managed. Medication to be taken ‘as and when required,’ was clearly indicated and medication, which was taken periodically was also well recorded. Despite recent medication training and areas of good practice, five unexplained gaps in the recording of medication were seen and a number of alterations to records indicated that occasionally medicines were perhaps signed as given before they were actually administered. The omission code ‘F’ was used to indicate when a medicine had not been given, but the reason for omission was not always defined. There is need for improvement in the recording of medication and a need for regular and continued monitoring of the recording of medication to ensure people receive their medication as prescribed. During the site visit care staff were seen to both anticipate needs and to encourage people to retain their independence. It was clear that there was a genuine concern for the health and welfare of people cared for. In discussions several people cared for, said that care staff ‘really care’, and it was evident from their comments that the people cared for feel cherished. Staff members described staff as helpful, friendly courteous and kind. One relative responding to the pre inspection survey, said that they had visited friends and relations in several care homes over the past few months and thought that, ‘Sandiway Manor was the best’, and described the carers as, ‘Wonderful’. One person receiving care said there was, ‘An excellent level of care and support’. One general practitioner who responded to the survey thought that the home communicated well with the practice, had a sensible approach in general and provided a very caring environment. In addition many positive comments about the quality of care were noted in the quality assurance survey. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 12 During the site visit one person had a fall and was admitted to hospital by ambulance. A member of staff went with them in the ambulance as an escort, and spent several hours at hospital ensuring the person was supported. The manager, provided care information to the hospital, liaised immediately with family members and continued to provide them with information throughout the day. A clear policy provides guidance to staff in the event of a death occurring, including information about special religious considerations. The registered manager continues to try to seek sensitive information from residents and their relatives regarding resident’s wishes on terminal care and arrangements after death. Despite some progress in this area none of the three care files checked, contained peoples wishes regarding death and dying and funeral arrangements. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are opportunities for leisure and recreational activities to suit peoples’ expectations, preferences and capacities. People living at the home are enabled to exercise choice in relation to routines of daily living and are provided with varied and wholesome food, in a pleasant setting. EVIDENCE: Regular in- house activities are arranged including chair aerobics and entertainment provided by visiting musicians and vocalists. During the site visit a pianist played light classic music to entertain people. A regular art class is held and examples of residents’ art -work were evident throughout the home. A hairdresser visits weekly and religious services are held on a regular basis. There is an increasing audio library and a selection of books including large print books is available. The WRVS organise a fortnightly shop. . Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 14 The Management Committee and The Friends of Sandiway Manor provide the home with valuable support. Members arrange a variety of events for residents including Christmas lunch out, the summer garden party, an anniversary lunch and a carol service. In addition much fundraising takes place to benefit people living at the home. Although many of the staff and people cared for are aware of the regular activities and events within the home and individual events are advertised, a collective record of activities is not kept. Such a record would provide evidence of planned and shared activities and would be useful to people selecting a care home or taking a placement at the home. During the site visit people living at the home provided mainly positive comments about the quality and range of food provided. They said the food was enjoyable, well presented and plentiful. The dining room and dining tables are always attractively presented. One person wished for a wider choice of foods at suppertime. The home had already sought suggestions from residents, their families and the committees for expanding the supper menus. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Arrangements are in place for reporting and responding to concerns and complaints. No complaints had been received since the last site visit. Staff members are trained and alert to the potential for abuse to help protect people living at the home. EVIDENCE: The care home has a written complaints procedure included in the residents’ information folders. The home’s management aims to deal with any concerns prior to these developing into complaints and there is an open door policy to encourage discussion and exchanges of information. Each month a different committee member visits to speak with people living at the home and to gain their views. The findings are reported to the chair of the committee and at a Friends meeting to ensure satisfaction. No complaints have been received since the last site visit. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 16 Staff members have a basic awareness of adult protection and have the Department of Health ‘No Secrets’ available to refer to. Staff members also have some knowledge about dealing with challenging behaviour. A whistle blowing policy is available to staff members to enable them to respond appropriately to suspicions or evidence of abuse. Of twenty care staff, twelve have completed adult protection training to help raise staff awareness and to safeguard the people cared for. Sandiway Manor DS0000006605.V343800.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): 19,21 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are clean, well furnished and equipped for the comfort of people living at the home. Sandiway Manor provides a well –maintained environment in which to live. EVIDENCE: Sandiway Manor is well maintained and clean. A tour of all the communal areas and five bedrooms, was undertaken. There is an ongoing programme of redecoration in place to maintain the environment to a high standard. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 18 The results of quality assurance questionnaires showed people cared for were satisfied or very satisfied with the environment. During the site visit several people walked or sat in the grounds surrounding the home to enjoy the sunshine. One person said how much they appreciated the old building and the architecture and said how much they enjoyed seeing the fresh flowers, which are always displayed around the home. Since the last site visit, the wellplanted borders surrounding the house have matured and are now colourful and attractive and the Summer- house has been refurbished. A shaft lift, grab rails and other aids have been provided to enable people to have access to all parts of the home. There was evidence to show that the lift and call alarm bells are regularly serviced. The premises were fresh and clean throughout. Advice was given about one shower mat, which needed refreshing and about fridge temperatures, which had not been monitored on various landings within the home. Bathroom and toilet areas were well equipped with liquid soap and paper towels. One upstairs toilet room does not have a hand wash -basin within the room. A separate toilet area to the older part of the building contains two toilets. This does not have satisfactory wash hand facilities. The nearest wash hand facilities are reached via two steps and by aid of a hand -rail. These areas could present a risk to hygiene and would benefit from refurbishment and improvement. Advice was given, as the large oval table central to the main lounge was found to be unstable. The top of the table tilted when pressure was applied and this would be hazardous should someone try to steady themselves against it. The kitchen and laundry was checked. The laundry is small but well organised. The kitchen was well equipped and well organised. Advice was given as the kitchen ceiling above the toaster and microwave was in need of redecoration, as some old paintwork had fallen away. Sandiway Manor DS0000006605.V343800.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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are carefully selected and recruited. They undertake appropriate training to ensure they are competent and confident in their roles and staffing levels are generous to enable care and support needs to be met. EVIDENCE: Examples of staffing rotas were checked. All staff shifts had been covered and staffing levels were generous to ensure the needs of the residents could be met. Since the last site visit the staffing level has been increased to provide an additional member of staff between 16:00 and 20:00. Three recruitment files were checked and provided evidence of very thorough recruitment procedures and practices in place, with all necessary recruitment checks undertaken and references provided. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 20 During 2006 and 2007, a number of staff members have undertaken training in medicines awareness, moving and handling, fire safety, the protection of vulnerable adults, health and safety training and food hygiene training. Further training has been planned. In addition the registered manager and deputy are due to undertake training regarding The Mental Capacity Act later this year. The staff -training matrix showed evidence of a variety of training undertaken, but the matrix had not been maintained to show the full extent of training undertaken by staff, to identify future training needs and to enable planning. NVQ training is progressing and staff members continue to be keen to undertake training and to gain qualifications. During the site visit staff members were observed to have the necessary skills and competence to undertake the work they perform and were confident and kindly in interactions with people cared for, providing reassurance and guidance as necessary. Sandiway Manor DS0000006605.V343800.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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered manager is experienced in the care of older people and continues to update her skills and knowledge. The people cared for and the staff benefit from a clear leadership and management approach within the home, which helps to promote health, safety, welfare and interests. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager is a qualified nurse and has kept her nursing registration until this year. She is competent and experienced and updates her skills and knowledge and completed the Registered Managers Award in June 2005. The registered manager is supported by a deputy who is about to undertake the same award and by a competent staff team and enthusiastic committee members. People cared for and their relatives have a high level of contact with the management of the care home, which promotes satisfaction from all parties. The processes of managing the home are open and transparent and the manager seeks to secure improvements for the benefit of people cared for and the staff. Suggestions for improvement within the home are encouraged, welcomed and acted upon and staff members receive regular supervision to ensure they are supported in their work. The results of a recent quality standards questionnaire were very positive and all suggestions for improvement were acted upon and results of the survey were made available for interested parties to see. The home aims to consult with people living and working within the home, about any important changes, so that all are well informed. During the site visit, the financial balances and records of personal monies held for safekeeping were checked. All balances and records were accurate with receipts kept as appropriate. The management of individual balances had been regularly and thoroughly checked to ensure peoples money was safeguarded. All the recent accident records for staff and for people cared for checked and provided full details of the accident and following action taken. The fire precautions log -book was checked and was well maintained with all regular fire safety checks undertaken. Advice was given to the manager to reduce the contents of the fire precautions file, to ensure the older fire precaution information was archived and to make sure all up to date contact information was completed within the file for ease of retrieval. The management team endeavours to ensure the health, safety, and welfare of everyone involved within the home. Sandiway Manor DS0000006605.V343800.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 4 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Sandiway Manor DS0000006605.V343800.R01.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations There is need for improvement in the recording of medication and a need for regular and continued monitoring of the recording of medication to ensure people receive their medication as prescribed. Residents wishes concerning terminal care and arrangements after death should be discussed and recorded and carried out. (This recommendation was made at previous site visits.) Keep a collective log of activities and entertainment to provide evidence of planned activities and to provide information for people new to the home. Improvements should be made to the identified toilet /hand washing facilities to promote hygiene. (A similar recommendation was made at the previous site visits on 6th May and 15th November 2005 and on 7th August 2006). 2 OP11 3. 4. OP12 OP21 Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 25 5. OP30 Ensure the staff- training matrix is maintained and up to date to accurately reflect the level of training undertaken by staff, and to ensure training achievements and training needs can easily be easily identified. Sandiway Manor DS0000006605.V343800.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Sandiway Manor DS0000006605.V343800.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. 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!