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Inspection on 03/05/07 for Scalford Court Care Home

Also see our care home review for Scalford Court Care Home for more information

This inspection was carried out on 3rd May 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What the care home does well

Health care monitoring is better and the detail to forms monitoring levels of care to residents has increased substantially. Medication coming into the home is being recorded. Resident`s personal bedroom space is well decorated, with a number of floor coverings changed to suit individual residents needs, and contained adaptations to increase levels of independence. Residents monies held by the home, were up to date and accurate.

What has improved since the last inspection?

Some areas in the medication system have improved. A risk assessment framework has been put in place for a resident is self-administering medication. Blood glucose monitors have now been identified as belonging to an individual resident. Work has commenced on the door locks to toilets bathrooms and bedrooms to increase the levels of privacy for residents. The carpets to the corridors of the home that presented a tripping hazard have now been replaced. An acting manager has been employed, who has a wealth of experience with current resident age group. Staff training has been increased and they are more aware in protecting residents from cross infection and cross contamination. Other training has been given in first aid, food hygiene, abuse awareness and moving and handling.

What the care home could do better:

The assessment information gathered by staff of residents moving into the home could give full health, personal and social care information. Paperwork such as the Statement of Purpose, Service User Guide and contracts could be updated giving prospective definite information regarding their stay. Care plan detail could be increased, and medication procedures tightened considerably to increase levels of safety in the home. Care plan reviews could be increased; this would then inform staff of the appropriate levels of care offered to individual residents. Medication outcomes still show some dangerous practices, and though medication training has been offered to a number of staff, little improvement has been shown since the last visit. Though the majority of staff have undertaken further training in Adult Abuse, issues still arise of individual residents being placed in situations where abuses could take place. Choices and polices offered to residents could be developed, where different modes of communication could be used, to increase the level of information. Numbers of care staff could be reviewed and thought given to the impact of low staffing levels to staff morale, and residents` satisfaction. The management team could ensure that all checks made on staff prior to employment are in place before staff commence in the home. Quality assurance has yet to be increased and used effectively to inform prospective residents of details on the home. Staff supervision could be increased to allow personal development and detailed discussion re residents care in the home. Periodic safety tests could be completed regularly to increase the safety of residents and staff in the home.

CARE HOMES FOR OLDER PEOPLE Scalford Court Care Home Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB Lead Inspector Keith Williamson Key Unannounced Inspection 3rd May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Scalford Court Care Home DS0000054020.V335666.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. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scalford Court Care Home Address Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB 01664 444696 01664 444499 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) V & L Corporation Limited ** Post Vacant *** Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (40) Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. To be able to admit the named person in category PD into Scalford Court Care Home as identified in correspondence with the previous registration authority dated 12th April 2004 No-one under the age of 55 years maybe admitted into Scalford Court Care Home To be able to admit the named person into Scalford Court Care Home within the category PD under 55 years as identified in correspondence dated 20th October 2003. No one falling within the category OP may be admitted into Scalford Court Care Home where there are 40 persons already accommodated in the home No one falling within the category PD(E) may be admitted into Scalford Court Care Home where there are 40 persons already accommodated in the home No one falling within the category DE(E) may be admitted into Scalford Court Care Home where there are 10 persons already accommodated in the home The maximum number of persons accommodated within Scalford Court Care Home is 40 21st December 2006 Date of last inspection Brief Description of the Service: Scalford Court is registered for 40 older people. It is registered to provide a service for older people with physical disabilities and for up to ten older people with dementia. The home is situated in its own grounds between the market town of Melton Mowbray and the village of Scalford and is mostly surrounded by farmland although there is a Conference Centre nearby. Public transport is limited but the home has its own minibus for the use of residents. The home is a converted and extended stable block with all rooms used by the residents being on the ground floor. Staff facilities and the Proprietors accommodation is located on the first floor. The main lounge/dining area has views of an internal courtyard that is well maintained with plenty of flowers and shrubs. This courtyard has seating and is used by the residents during the warmer months. There is a further lounge and a conservatory that overlooks another attractive internal courtyard. The home currently has 24 single and 8 double rooms although there is an ongoing improvement plan of developing an area to the back of the home to provide further single en suite bedroom accommodation. Currently eleven of the single rooms and six of the double rooms have en-suite facilities. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 5 The current fees charged weekly fall between £319 and £450 per week, there are additional charges for hairdressing. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections is on outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting a sample number of clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation, in this case four residents were chosen. This inspection took place over one day, commencing at 9.00am and took seven and one half hours to complete. One inspector conducted the inspection (or site visit). An opportunity was taken to look around the home, view records, policies and care plans and to talk to residents and staff. Information was gathered prior to the site visit from sources such as residents, their relatives and staff comment cards; the pre inspection questionnaire from the acting manager and in some cases complaint information. Twelve of residents were seen and five spoken with during the inspection process, though due to the frailty of the resident group, few comments were made. What the service does well: What has improved since the last inspection? Some areas in the medication system have improved. A risk assessment framework has been put in place for a resident is self-administering medication. Blood glucose monitors have now been identified as belonging to an individual resident. Work has commenced on the door locks to toilets bathrooms and bedrooms to increase the levels of privacy for residents. The carpets to the corridors of the home that presented a tripping hazard have now been replaced. An acting manager has been employed, who has a wealth of experience with current resident age group. Staff training has been increased and they are more aware in protecting residents from cross infection and cross contamination. Other training has Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 7 been given in first aid, food hygiene, abuse awareness and moving and handling. 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. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 6. Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. The assessment process for residents is still not detailed or effective; resulting in a lack of accurate and detailed information for staff to ensure care needs shall be met. EVIDENCE: The Statement of Purpose, which sets out the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing, was not available for inspection on this occasion. This document has not been updated to include the new Registered Person details since the new owner purchased the home. The Service User Guide has also yet to be updated. Of the residents’ files that were viewed on this occasion, none of whom had a contract or statement of terms and conditions in place. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 10 Assessment information for the residents was viewed. The information gathered by the staff remains partially complete, and was not adequate in providing the amount of detail from which a plan of care could be derived. The home does not provide facilities for intermediate care. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Residents are not looked after well in respect of their health and personal care needs. Medication requirements made at the previous inspection remained unmet with residents still at risk from unsafe practices. Gaps and inaccuracies in recording and information mean that residents continue to be at risk from medication errors. EVIDENCE: Care plans for the four residents still did not include enough detail for staff to enable them to undertake health, personal and social care needs, on a consistent basis. The plans are not reviewed regularly, nor have any risk assessments included. Health care monitoring has improved, with a number of records covering weight gain and loss, and other information being introduced recently. One Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 12 resident who was being cared for in bed, had a number of these monitoring forms in place, however the detail care plan had not been amended. The medication administration record (MAR) had gaps with no code to explain the reason and where a variable dose was prescribed records were not made of the amount given. A medication that was given once a week had not been administered and none was available in the trolley. Medication received was now recorded however medication already in the home was not carried forward onto records. Records were now being made for residents who self-administer medication including risk assessment, care plan and record of the amount and quantity of medication given to residents. Discrepancies were found between instructions on labels and the way in which medication was being given. For example a medication prescribed for ‘when required’ use was being given regularly with no information in individual files to show that it should be administered in that way. There was a homely remedies policy in place and although there were homely remedies in the clinic room no records of administration were seen. Medication with a reduced expiry of 28 days once opened was being used five weeks after opening. Recent medication training had been completed and the district nurse had provided specialist diabetes training so that staff were able to administer insulin and check blood levels. The blood glucose testing equipment was now labelled for individual residents. A carer was observed administering medication they asked residents if they needed ‘when required’ medication and explained what the medication was for. However administration records were initially signed before administration had been witnessed. The acting manager said that they had started a process of regular audits to check staff competencies and had already started to identify areas where improvements were necessary. The privacy and dignity of residents has improved in some areas with the ongoing adjustment of toilet door locks, and fitting of bedroom door locks. However the inspector was made aware of a concern regarding residents’ personal privacy, and this is being investigated by other means. Scalford Court Care Home DS0000054020.V335666.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents are offered a limited lifestyle resulting in restricted choice being made available to them. EVIDENCE: Activities are not planned or provided to the majority of residents taking into account there current needs. There is a lack of detailed social care information in the care plan, to enable care staff to provide a suitable and varied social care programme. The hospitality coordinator was seen to be assisting some residents out to communion; others were assisted to the local village to vote. These activities are not widely known by residents, and a greater number of residents could be assisted in taking part. Visiting remains unrestricted with a number of relatives visiting on the day of the visit. Choice remains restricted, where residents that are capable of making choices are prevented in doing so by lack of information being displayed. This was Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 14 discussed with the acting manager and further choices shall be clarified and offered to the resident group. Meals and meal times are not well organised, the menu choices are not posted in advance, and residents were seen to be assisted into the dining room one hour prior to the meal being served. Staffing numbers have a large impact on this area, and staffing is covered in full later in the report. The cook produces meals in line with the dietary and preferences information available in the kitchen. Scalford Court Care Home DS0000054020.V335666.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, 17 & 18. Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Residents are placed in danger due to poor Complaint and Adult Protection policies and procedures. EVIDENCE: There have been improvements in the recording of complaints with two being recorded and acted on appropriately since the last inspection. Complaints information is currently available in the foyer of the home. One resident spoken with was not happy to share her concerns with the staff group. The policy and procedure for complaints has yet to be amended. Two residents were assisted to go to the village to vote, a further number were assisted with postal voting. Staff showed an awareness of whistleblowing and adult protection strategies. The inspector was made aware of a concern prior to the visit commencing; this had not been acted on appropriately, and investigated in line with the local Adult Protection Policy. This places all residents in the home in danger, as the Registered Person and senior management team are unaware of how to deal with the full scope of Adult Protection issues. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 16 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, 22 & 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and clean environment. EVIDENCE: The carpets to the main corridor have been replaced, and this has improved the conditions underfoot for residents. The handy person has begun to replace the bedroom door locks, and adjust the toilet door locks that shall allow a greater degree of privacy for residents. Residents’ personal bedroom space, and public areas of the home were pleasantly decorated. The ongoing plan of refurbishment was not seen on this occasion, and shall be inspected on the next visit to the service. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 17 Adaptations were in place in a residents’ bedroom, these matched the assessment information provided by a hospital social worker. Staff training in cross contamination and cross infection has begun, and staff showed a heightened awareness of these issues. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 18 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, 29 & 30. Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Poor care staffing levels and recruitment practices place residents and staff at risk in the home. EVIDENCE: The staff compliment of care staff has been cut substantially since the last visit to the home. The rota hours have also been cut, and there are now no built in “handover” times for staff. When spoken to staff commented on the lack of staffing one stating “I feel like I am on a conveyor belt” another commented “there’s not enough staff on at weekends or today, four (staff) is not enough and I am not happy”. The recruitment process continues to be poorly managed, with one member of staff commencing since the last visit, there was no evidence of a completed application form on file, though there was one reference and a Criminal Records Bureaux check in place. Staff training has improved with a number of statutory training courses taking place since the last visit in December. The Registered Provider has identified a number of other training initiatives to assist the staff group. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 & 38 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. The management approach does not promote effective care practice in the home for residents’ care and protection. EVIDENCE: The current acting manager is qualified having passed the Registered Managers award. Quality assurance questionnaires have been distributed to residents and their relatives, though not since the last visit to the home. No further quality assurance information has been added to the Service User Guide. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 20 Resident finances are kept appropriately; of two records seen both were up to date and accurate. Staff supervision is currently not undertaken in the home. Staff spoken with confirmed the lack of input one stating “if you have a problem you cant discuss it in privacy”. A sample of accident reports were completed appropriately, though there is still little accuracy between these and the residents’ individual daily records. Fire records were viewed and the weekly fire alarm tests were found to be up to date, the tests for the emergency lighting were not. The first aid policy and procedure have yet to be updated and the first aid kit mentioned in the procedure has not been the subject of regular tests, and all one of the dressings were out of date. Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 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 1 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 1 3 X X 3 X X X 3 STAFFING Standard No Score 27 2 28 X 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 1 2 2 Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP2 Regulation 17 (1) Requirement Timescale for action 22/06/07 2. OP3 14 (1) 3. OP7 12 (1) All Residents must have a written contract or statement of terms with the home. This would enable residents and their families to be aware of any restrictions and costs placed on them whilst resident in the home. (This requirement with an original timescale for action of 22/02/07 remains unmet) No Residents must move into the 22/06/07 home without having their needs properly assessed, and been assured those needs could be met. This would ensure residents could be assured the home is able to meet the their needs. (This requirement with an original timescale for action of 22/02/07 remains unmet) 28/06/07 All care plans must be sufficiently detailed to enable staff to fully care for individual residents personal social and emotional care. This would ensure that all staff had sufficient information to meet the residents’ personal DS0000054020.V335666.R01.S.doc Version 5.2 Scalford Court Care Home Page 23 4. OP8 12 (1) 5. OP9 13 (2) care needs. (This requirement with an original timescale for action of 28/02/07 remains unmet) Care plans must be sufficiently 28/06/07 detailed giving adequate instruction for staff to provide individual health care to residents. This would ensure that all staff had sufficient information to meet the residents’ personal care needs. (This requirement with an original timescale for action of 28/02/07 remains unmet) There must be an accurate 28/06/07 record of all medication received, administered and disposed of by the service including: Defined codes for any nonadministration Quantity administered where a variable dose is prescribed Quantity and date of any medication given to residents for self administration Quantities received and balances carried forward from the previous month. (This requirement with an original timescale for action of 28/02/07 remains unmet) All prescribed medication must 28/06/07 be administered as prescribed. This would ensure safe dispensing and administration of medication to residents in the home. (This requirement with an original timescale for action of 28/02/07 remains unmet) Handwritten medication 28/06/07 administration records must be accurate, include full dosage instructions, be signed and dated DS0000054020.V335666.R01.S.doc Version 5.2 Page 24 6. OP9 13(2) 7. OP9 13(2) Scalford Court Care Home 8. OP9 9. OP9 10. OP9 11. OP9 12 OP12 and referenced to who has authorised the change. (This requirement with an original timescale for action of 28/02/07 remains unmet) 13(2) Homely remedies used must be included in the homely remedy policy and records of administration must be kept. This would ensure no interaction occurred with medication prescribed by medical professionals. (This requirement with an original timescale for action of 28/02/07 remains unmet) 13(2) All staff responsible for administering medication must have received appropriate training, be competent and follow written policy and procedure. This would ensure residents were safe in the home. (This requirement with an original timescale for action of 05/04/07 is not fully met) 18 (1) (c) Where medication is prescribed as required or when necessary there must be sufficient information on the medication administration record or in care plans to ensure that staff know how much to give, when to give and why it is to be given. (This requirement with an original timescale for action of 05/04/07 remains unmet) 13(2) Medication must not be used when it has exceeded the recommended expiry date. This is to ensure that medication is not used that has lost potency or become contaminated. 12 (1 & 3) Information for residents’ pastimes must be researched and offered to residents in an appropriate manor. This shall DS0000054020.V335666.R01.S.doc 28/06/07 28/06/07 05/08/07 13/06/07 09/07/07 Scalford Court Care Home Version 5.2 Page 25 13 OP15 12 (3) 14. OP16 22 15. OP18 12.13 ensure residents are offered activities at an appropriate level for their intellect. Residents must be informed of meal choices in a form acceptable to all levels of residents’ intellect. This would ensure all residents were offered appropriate meal choices in the home. A complaints procedure, which is appropriate to the needs of residents, must be put in place. This would ensure anyone wishing to complain, has the correct information to do so. (This requirement with an original timescale for action of 27/10/06 and 28/02/07 remains unmet) The care home must be conducted so as to promote and make proper provision for the health and welfare of residents. This relates particularly to: Ensuring that no omissions in care occur which could be harmful to residents. (This requirement with an original timescale for action of 27/10/06 and 28/02/07 remains unmet) The numbers of care staff must reflect the needs of the resident group. This would ensure staff have the appropriate time to care for residents. Staff must not be employed unless the required checks have been carried out. These include • PovaFirst/CRB checks • References • Full employment history • Suitability to work with vulnerable adults DS0000054020.V335666.R01.S.doc 28/06/07 28/06/07 28/06/07 16 OP27 18 (1) a 14/06/07 17. OP29 19 28/06/07 Scalford Court Care Home Version 5.2 Page 26 18. OP33 24 19. OP33 24 20 OP36 18 (1) a 21. OP37 17 22 OP38 12 (1) a This would ensure residents and staff are safe in the home. (This requirement with an original timescale for action of 22/02/07 remains unmet) Effective quality monitoring systems must be put in place, to ensure the development of the home is continual, and is to the benefit of residents. This would ensure that residents could comment on, and influence the development of the home. (This requirement with an original timescale for action of 05/04/07 remains unmet) The outcome of any quality assurance exercise is used to inform any prospective residents to the home. This would provide prospective residents with the information to make an informed choice regarding a stay in the home. (This requirement with an original timescale for action of 05/04/07 remains unmet) Staff must be appropriately supervised, and aspects of practice, the philosophy of the home, and career development covered. This would ensure staff employment policies, induction and training were all put into practice in the home. Accident reports must correlate to entries in the daily records, and accurately reflect the scope of accidents in the home. This would ensure staff were made fully aware of events happening in the home. Periodic tests of the fire alarm system must include all parts of the system, and be performed regularly. This is to ensure the safety of DS0000054020.V335666.R01.S.doc 05/06/07 05/07/07 05/07/07 28/06/07 14/06/07 Scalford Court Care Home Version 5.2 Page 27 residents. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Scalford Court Care Home DS0000054020.V335666.R01.S.doc Version 5.2 Page 29 - 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!