Inspection on 02/02/06 for Scaleford Retirement Home

This inspection was carried out on 2nd February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Scaleford Retirement Home 17/11/09

Scaleford Retirement Home 03/03/09

Scaleford Retirement Home 10/09/08

Scaleford Retirement Home 14/08/07

Scaleford Retirement Home 02/08/06

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

CARE HOMES FOR OLDER PEOPLE Scaleford Retirement Home Lune Road Lancaster Lancashire LA1 5QU Lead Inspector Mrs Joy Howson-Booth Unannounced Inspection 2nd February 2006 10:00 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 Scaleford Retirement Home DS0000064565.V256448.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. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Scaleford Retirement Home Address Lune Road Lancaster Lancashire LA1 5QU 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) 01524 841232 Scaleford Care Home Limited Mrs Lynette Anne Owen Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 32 service users in the category OP (older persons over 65). Date of last inspection Brief Description of the Service: Scaleford Residential Home is owned and managed by Mr & Mrs Owen who have over 15 years experience of managing a care home. Mr & Mrs Owen have recently registered the home as a limited company. Scaleford is situated in a residential area of the Marsh in Lancaster and overlooks the River Lune. It is close to local amenities. There are three lounges and a dining room, these are used for a variety of purposes and provide residents with a choice of where to sit and who to sit with. There are 32 single rooms, 7 of which have ensuite facilities. Bedrooms are situated on both the ground and first floor and the upper floor can be accessed either by stairs or by a stair lift. Residents are encouraged to retain links in the community and every effort is given to ensuring that relationships are maintained. A limited range of activities are organised within the home for those residents who wish to participate. Relatives, friends and visitors are made welcome at any reasonable time. All personal needs of residents are catered for by staff who have received training. All residents have their own General Practitioner who are responsible for medical needs. Those residents requiring nursing input have the services of the District Nurses made available to them. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and was carried out by the inspector for the home. The inspection lasted 5 and a half hours. The services provided by the home were inspected against the National Minimum Standards (NMS)and included those NMS not previously assessed and those with requirements from previous inspections. A number of residents were spoken with, along with members of staff on duty, the cook, the Assistant Manager and the Registered Owner/Manager. Documents were examined including care documents, staff files, financial records and other associated records held by the home. Only one comment card was received from a local GP who felt the home provided a good level of care. All the residents spoken with said they liked living at the home and felt the carers worked hard. The Registered Owner/Manager has addressed some of the requirements made at the last inspection. It is anticipated that those requirements remaining and those identified at this inspection will be addressed within the timescales agreed. What the service does well: Those residents who were able to do so said they felt content and cared for at the home. Again, most of the staff have worked at the home for a long time which means the residents have familiar faces around them. Residents are able to enjoy the communal areas in the home. Residents are able to bring in treasured personal possessions with them to make their rooms more homely and familiar. Those residents who are able to do so follow their own lifestyles and routines. Last year, two residents were married and this proved to be a happy and wellcelebrated occasion. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: The care plans should continue to be developed to ensure these are working documents that reflect current needs. The care plans should also be checked to ensure all the information gained at assessment is included in the care plan and risks are fully assessed and documented. A review of the meals provision should take place as some meals feature in the menu every week. As part of the care plan review, breakfasts should also be reviewed to make sure these are still what the resident wants to have. Activities should be further developed to ensure all residents are provided with the opportunity to have social interaction and stimulation. As discussed with the registered owner/manager, residents in care can easily become depressed and appropriate social activities and stimulation may help to prevent this. Activities preferred are found out at the time of the assessment but should also be reviewed as part of the general care plan review. There should also be the opportunity for some quality 1 to 1 time for those residents who do not wish to take part in group activities. Outings should also be organised as residents commented how much they missed going out. Residents should be reminded who they can speak with if they are unhappy with aspects of their care. Again, staff could do this as part of the care plan review. The refurbishment and redecoration programme should continue so that all the areas and rooms in the home are to a good standard. The domestic arrangements in the home must be addressed. During a tour of the home, the registered owner/manager was made aware of a number of areas that were of concern. It is disappointing to note that despite previous Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 7 advice and guidance, the standard of cleanliness in the home remains of concern. Training for domestic staff in infection control and Control of Substances Hazardous to Health should also be provided to ensure safety and prevent the spread of infection. The staffing rota must reflect the management hours of the owner/manager, assistant manager and also indicate who is in charge of the home when these people are not on duty. It is advised to review the staffing levels, particularly for periods of peak activity, so that residents do not feel staff are rushed and personal care is provided in an unhurried manner. Those staff who are responsible for giving out medication must ensure medication is taken. The home’s application form should ensure that any prospective employee provides their full employment history. The current quality assurance system does not directly ask residents for their view of care. This can be done by means of the questionnaires but, for those residents who would find this difficult, by personal chats by the registered owner/manager. When an accident occurs, this could be also written in the daily care notes so that staff are aware and monitoring can more easily take place. 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. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 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 Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 There are good arrangements for the needs of residents to be assessed and met. This means that people coming to stay at the home will be asked questions about their personal needs and come to an agreement how the staff will provide care for them. EVIDENCE: A requirement indicated on the previous inspection report required the home to develop a comprehensive assessment process, including any risk assessments identified. During this inspection, it was seen that a new assessment process has been introduced which includes an initial enquiry information questionnaire and a formal assessment document which is completed at the time of an assessment visit. Both documents are usually used alongside the expected Social Worker assessment. The owner/manager confirmed this has improved the assessment process and has provided a way to obtain much more information from which a decision Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 10 can then be made as to whether or not the home can meet the prospective resident’s needs. These assessments were seen for newly admitted residents and confirm an improvement to the previous system. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 The care plans provide information which enable staff to be aware of needs and how these are to be met. Arrangements to meet the health care needs of the residents are good. Residents are treated with respect and dignity and their privacy is respected EVIDENCE: A requirement highlighted at the previous inspection required the home to ensure the care plans show the needs of individual residents and provide clear instructions and guidance as to how these are to be met. In addition, healthcare records were required to provide evidence of regular monitoring of health. During this inspection, three care plans were seen and found to contain more information, including healthcare monitoring. The registered owner/manager confirmed these continue to be developed and will be examined again at the next inspection. The registered owner/manager also confirmed that risk assessments are carried out for the residents. For one resident it was seen that an area of information had not been transferred from the assessment onto Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 12 the care plan and an identified risk had also not been included in the care plan. The registered owner/manager was informed of this. It was advised that at the monthly care plan review, this should be carried out with the resident so that all aspects of their care can be discussed, with any changes being incorporated into the reviewed care plan. Staff on duty confirmed they have access to care plans and the use of the care plans was seen during this inspection. A GP comment card was received indicating they were happy with the care provided to their patients. This was discussed in more detail with the registered owner/manager. Residents spoken with confirmed that their arrangements for health and personal care ensure their dignity and privacy. Discussions with staff on duty during this inspection confirmed that they were aware of the need to ensure residents are treated with dignity and respect. It was noted that residents were not always aware of the name of the member of staff – the registered owner/manager confirmed that new uniforms have been purchased with the staff member’s name embroidered on in bold, black stitching. This should address this problem. Although an assessment of the administration of medication did not take place during this inspection, the registered owner/manager was handed a tablet which had been found on a resident’s bedroom floor. It was confirmed this will be investigated and appropriate action taken. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Activities are limited and do not provide residents with social stimulation. There are no restrictions for families and friends of the residents to visit the home. Resident’s benefit from following their own lifestyles and from seeing their families when they want. Arrangements and planning to provide nutritional food are good. The residents are provided with good food to ensure healthy living. EVIDENCE: Discussions with residents confirmed that they feel free to follow their own routines and lifestyles. It was discussed with the registered owner/manager that this was fine for those residents who were self motivated. However, as a number of residents at the home require staff support in most aspects of their lives, the care plan should reflect how routines have been decided upon. There is a limited programme of social activities but some residents commented that there is little to do at the home. Comments were made by a few residents that they never go out or have outings. Residents are free to take part in the activities organised by the home, as they prefer. During this inspection a musical afternoon was in progress and residents were clearly enjoying themselves. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 14 These comments were discussed with the registered owner/manager and, whilst it is felt that the activities put on by the home are enjoyed by the residents, this is an area which needs to be reviewed and developed further. Again, for those residents who are self motivated, activities tend to be planned and enjoyed. However, the home should look at those residents who are reliant on the staff to provide them with activities and social stimulation. Activities could be based on individual identified interests and group type activities could be supplemented by quality 1 to 1 time. It was confirmed that relatives and visitors are made welcome when visiting the home and that residents wishes are respected over which visitors are seen. Information over visiting is included in the Statement of Purpose which is provided to all relatives/family members. A volunteer worker visits the home and appears to be of benefit to the residents. As much as possible, residents are free to manage their own financial affairs, although these are generally managed by either relatives or appointees. Residents are free to bring in personal possessions and treasured items to make their rooms homely and familiar and this was confirmed during a tour of the home. The registered owner/manager confirmed that residents have access to their files which are kept in accordance with the Data Protection Act 1998. Discussions with the residents over the meals provided in the home confirmed they are happy with what is provided and feel there is sufficient food and drinks available to them. The cook confirmed that nutritional information is passed on following the admission assessment and, any special needs or diets would be identified at that time. The menu provision was discussed with the registered owner/manager who was advised of the following : There is a set choice for the main meal which on a weekly basis features the same main meals. An alternative is provided for those residents who do not wish to have this meal. The current menus need to be discussed with the residents and the chef and a change of menu planned on a regular basis. It is acknowledged that some residents may prefer to have the same meals each week the home needs to make sure other residents are provided with an opportunity to have different meals. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 15 Whilst residents indicate on their ‘breakfast card’ what they would like to eat, as part of the care plan review, breakfast meals could be discussed with the individual resident to ensure changes/preferences, etc., can be noted and provided. At present there are no special diets but the cook confirmed these would be provided as needed. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The arrangements for dealing with complaints are good. Residents can speak up and feel that they are listened to. EVIDENCE: There is a complaints procedure in place that details who to contact and a timescale for action. The registered owner/manager maintains a record of all complaints by using the ISO 9001 ‘non-compliance’ system. This records any complaint as a failure to meet standards and is addressed as appropriate. Since the last inspection, there has been one complaint received by the Commission for Social Care Inspection which was passed to the home’s owner/manager to investigate. Contact with the complainant confirmed this was dealt with satisfactorily. Residents confirmed that they would speak with the owner/manager if they had any concerns or issues and, on the occasion they have done this, prompt action has been taken. One resident spoken with was unclear as to whom to speak to so this may provide an opportunity for all the residents to be reminded of the complaints procedure. A requirement highlighted at the previous inspection required the home to update the adult abuse procedure in line with the Department of Health’s Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 17 document “No Secrets”. The registered owner/manager confirmed this has been carried out. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 18 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 and 26 Scaleford is generally a safe place for people to live in although redecoration and refurbishment work to improve the home is still required. The standard of cleanliness in the home is inadequate and does not provide residents with a clean, hygienic and pleasant place to live in. EVIDENCE: A requirement highlighted at the previous inspection required the home to produce a programme for the renewal and decoration of the premises. During this inspection it was seen that the home is currently undergoing some redecoration and refurbishment work. A timescale for completion of this work has been agreed. Discussions with staff on duty confirmed that they were not unaware of infection control procedures nor had they had training in this. In addition, not all domestic staff have had Control of Substances Hazardous to Health (COSHH) training. Staff confirmed that protective clothing is provided and soiled waste is disposed of via the yellow bag system. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 19 A requirement highlighted at the previous inspection required the home to be clean, hygienic and free from offensive odours and for the domestic hours to be increased to make sure of this. Domestic hours have now increased with two domestics on duty each morning and one domestic at a weekend. During this inspection, the home was toured and a number of observations were brought to the attention of the registered owner/manager. The concerns about the standard of cleanliness have been raised in previous inspection visits and it is disappointing that this remains an area of concern. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 20 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 and 29 The level of staff at the home is generally good. Management hours are not fully recorded which means staff and residents do not always know who is the person in charge. There is a recruitment procedure in place which ensures the protection of the residents. EVIDENCE: The staffing rota was examined and advice given that the management hours must include the registered owner/manager. The rota must also indicate who is in charge of the home when the manager or assistant manager are not on duty. The staffing rota indicates that there are adequate numbers of staff on duty for the number of residents accommodated. Some residents commented that staff were very busy and felt they were always rushing around. One resident felt that because staff always seemed busy they were reluctant to ask for their help. The registered owner/manager was advised to look at the staffing levels to ensure there are sufficient staff on duty to provide care (which can sometimes be drawn-out) without the residents feeling rushed. Observations during this inspection indicated that staff do appear to be very busy as a number of residents require direct support. This may be addressed by ensuring additional staff being on duty at peak times of activity during the day. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 21 The domestic staffing levels were discussed and noted that these have been increased. However, observations made to the registered owner/manager would indicate this is an area for further review. A requirement highlighted at the previous inspection required that all the required checks be carried out on prospective employees prior to commencement of their employment. It is noted that no new staff have started work at the home since the last inspection. The registered owner/manager is aware to follow the requirements of the Regulations regarding recruitment. A Criminal Record Bureau disclosure was seen for the home’s volunteer worker. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 22 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): 33, 35, 38.2, 38.6 and 38.7 The quality assurance systems in place are not being fully used as there are aspects of the home that do not meet with the required standard. The arrangements to protect the residents’ money and property are good. Residents’ money and belongings are safeguarded. Areas of health and safety are not being addressed which means residents and staff are at risk. EVIDENCE: The home has achieved the ISO 9001 quality assurance award which includes a formal quality assurance system. Although residents meetings do not take place, questionnaires are sent out to relatives and healthcare professionals. It was advised that residents could be included in these. It was also advised that for those residents who may not be Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 23 able to complete comment cards, the registered owner/manager look at other systems which would enable feedback to be sought. This may be by personal meetings with individuals whereby feedback is verbally sought over the services provided. Such discussions could then be recorded as part of the quality assurance system. Another example could include the involvement in residents in the review of their care plan. This would enable all aspects of care to be reviewed and changes put in place for any areas identified. Financial records for personal monies and for charges and payments were seen and all found to be accurately maintained and securely stored. The registered owner/manager confirmed that a new computer system is being organised for the new financial year which will include financial records. A hard copy back up will be maintained for all financial records. Domestic staff have not had training in infection control which means that they are unaware of how to deal with or prevent the spread of infection. Domestic staff confirmed they are told if a resident has, for example, sickness. A requirement highlighted at the previous inspection required the home to ensure residents are provided with medical attention following an accident. The accident record book was examined during this inspection and noted that appropriate action is taken once an accident has occurred. The registered owner/manager was advised that the daily care notes could reflect when an accident has occurred and the action that has been taken following this. As stated earlier in this report, the management of the home need to address areas of cleanliness, infection control training and risk assessment. Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 24 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 X 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X X 1 STAFFING Standard No Score 27 2 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x X 2 X 3 X X 2 Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 25 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 1 Standard OP26 OP12 Regulation 23(2)(d) 16(M) and 16(n) Requirement All parts of the home and the facilities used by residents must be kept clean The activities in the home must be developed to enable residents to have social stimulation as identified by their interests, abilities and preferences and also to help prevent the onset of depression The ongoing redecoration and refurbishment of the home must be completed Domestic staff must receive training in infection control The staffing rota must reflect management hours for the working day and indicate the person left in charge of the home The quality assurance system must include seeking views of the residents about the services provided at the home The registered owner/manager should ensure all risks identified at assessment are assessed and transferred onto the care plan Staffing levels should be reviewed to ensure care is DS0000064565.V256448.R01.S.doc Timescale for action 03/02/06 31/03/06 2 3 4 OP19 OP26 OP27 23(2)(b) 23(2)(d) 13(3) 18(1)(a) 31/03/06 31/03/06 17/02/06 5 OP33 24 31/03/06 6 OP38 13(4)(c) 31/03/06 7 OP27 18(1)(a) 17/02/06 Scaleford Retirement Home Version 5.1 Page 26 8 OP9 13(2) provided in an unhurried manner and, at times of peak activity, sufficient staff are on duty Medication must be safely administered to residents as detailed by the Medication Administration Record 02/02/06 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 OP15 Good Practice Recommendations Residents views over the meals provided at the home should be sought to enable personal choices and preferences and a varied diet to be provided – this may be something to be included at the time of the care plan review Residents should be reminded of the complaints procedure and who to contact if they are unhappy with an aspect of their care The home’s application form should enable the prospective employee to provide a full employment history Accidents could be entered on the daily care records along with the action taken/expected by staff When information is being transferred from the assessment onto a care plan, two staff could double check to ensure all the information has been transferred 2 3 4 5 OP16 OP29 OP38 OP7 Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Scaleford Retirement Home DS0000064565.V256448.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!