Inspection on 29/08/06 for Seddon Court Elderly Persons Home

This inspection was carried out on 29th August 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

Seddon Court Elderly Persons Home 25/06/07

Seddon Court Elderly Persons Home 30/11/05

Seddon Court Elderly Persons Home 12/04/05

Seddon Court Elderly Persons Home 24/01/05

Seddon Court Elderly Persons Home 18/05/04

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

CARE HOMES FOR OLDER PEOPLE Seddon Court Elderly Persons Home Prescot Road St Helens Merseyside WA10 3UU Lead Inspector Mr John Mullen Unannounced Inspection 29th August 2006 09:00 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 Seddon Court Elderly Persons Home DS0000034059.V302247.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. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seddon Court Elderly Persons Home Address Prescot Road St Helens Merseyside WA10 3UU 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) 01744 677515 01744 677517 jimphilbin@sthelens.gov.uk St Helens Metropolitan Borough Council Mr James Michael Philbin Care Home 30 Category(ies) of Dementia - over 65 years of age (30) registration, with number of places Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to a maximum of 30 DE(E). The Service may accommodate up to a maximum of 2 service users aged 60 years and over. 30th November 2005. Date of last inspection Brief Description of the Service: Seddon Court is a thirty-bedded home for the accommodation and care of older people with dementia. It is owned and managed by St Helens Council. The registered manager is Mr. James Philbin. The home has twenty-seven permanent beds and three respite one. Seddon Court is divided into three units of ten, although residents can and do move between units freely. The home does not provide nursing care but calls upon the community nursing services when necessary. The fees charged range from £90.65 per week to £726.00 per week depending on an assessment of residents’ financial means. The premises are purpose-built and were opened in 1988. The area used by residents occupies the ground floor. Here, in addition to the residents units, is located a kitchen, laundry and hairdressing room as well as office accommodation. The first floor is used exclusively by staff and contains a meeting room as well as sleeping-in accommodation. All bedrooms are for single occupancy. The home has a very pleasant communal area as well as a garden facility extensively used by both residents and their families. Appropriate aids and adaptations assist disabled residents manage the premises and the home has a full call system in place. Seddon Court is located within close reach of local facilities and can be easily visited via public transport. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection of Seddon Court which included a site visit. The inspection took place over two days and included an interview with the registered manager, an assistant manager, six care workers, one member of the domestic staff and a member of the catering staff. Two residents were spoken to and others were observed during the inspection. A formal meeting was held with three relatives of one resident, a further four relatives were interviewed by telephone and four comment cards from relatives were received. A tour of the premises took place and a large amount of documentation was examined. What the service does well: What has improved since the last inspection? Since the last inspection, the home has provided moving and handling training for all care workers to ensure the safety of staff and residents alike. It has purchased specialist equipment to enable residents to be weighed regularly. Further improvement has been made to the premises through redecoration and refurbishment and more is planned for the future. The home now ensures that each resident has a comfortable chair in their bedroom to enable residents to use their bedrooms fully. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 6 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. Seddon Court Elderly Persons Home DS0000034059.V302247.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 Seddon Court Elderly Persons Home DS0000034059.V302247.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Seddon Court has inconsistent assessment material meaning that the planning of care is varied. EVIDENCE: An examination of files showed that there was a varied level of assessment for residents. It was noticeable that residents receiving respite care do not have the same level of information as permanent residents. In addition, some permanent residents recently admitted have more detailed documents from a recently devised form, which others do not so that the content varied. An interview with the registered manager and the assistant manager confirmed that there is to be a gradual introduction of the fuller material for residents but this has not yet been completed, confirming the discrepancy in the record keeping. Interviews with staff and families showed a good understanding of needs so that the varied records were not being translated into variable care. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s care planning needs to improve to provide a consistent service. Residents’ health needs are being promoted but medication practices and training needs to be improved to fully protect residents. Residents are being cared for appropriately so that their dignity is preserved. EVIDENCE: An examination of files confirmed that there were care plans for all permanent residents in place but not always for those receiving respite care so the home could not show that it was planning care individually. The care plans were largely signed by residents or their relatives and were regularly reviewed at a six monthly intervals as well as monthly, meaning that they were up to date. In addition, the monthly reviews were much more detailed than previously giving a clearer picture of residents’ progress. One resident who had moved from respite to permanent care did not have a care plan although she had been in the home since 3rd August 2006 which means that, again, the individual planning of care was not always evident. Care plans and review of plans are being stored in separate files and it would be better practice if they Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 10 were kept together so that a fuller picture is available for staff. Care workers interviewed were aware of individual needs of residents but this needs to be documented so that all staff will have this information available. The home accesses national health provision as required which ensures the wellbeing of residents. There is a shortage of chiropody services and this was commented on by a relative whose mother had been waiting for some time for this service although she was not critical of the home for this as she felt that the staff, “were doing their best”. On the other hand, psychiatric services are now fully operational after a period of shortages and interviews with managers, confirmed by files, showed that there is regular psychiatric oversight, with residents being admitted for assessment when necessary. Residents are now weighed regularly following the purchase of specialist equipment for this purpose so that their nutritional needs can be kept under review. A relative contacted was concerned that her mother had lost her glasses approximately three weeks ago and that although the home had promised to remedy this, this has still not occurred and she was using other peoples’ glasses. The home has moved to a new, and better system for administering medicines, which was demonstrated by one member of staff as a safe and reliable method. Interviews with care workers confirmed that they had been trained in medicines but had found that training, by a pharmacist, to be insufficient and inadequate. This was confirmed by the registered manager who understands the need for further training in this subject. An examination of medication sheets showed a number of inadequate entries, particularly by night staff, so that the sheets do not fully reflect the medicines given. One relative said that her mother had been given an incorrect dosage and this was confirmed both by this resident’s key worker and the registered manager although the problems appears to have occurred through the changing of medicines without the home’s knowledge so that an extra dosage was not administered. Observed interaction between staff and residents was friendly, appropriate and relaxed. One relative contacted, who was very complimentary about the home saying that “she got on well with care staff”, was concerned that her mother had not always had her eyes bathed, although staff responded to any request from the daughter. Personal care is being provided in privacy so that individual dignity is maintained. There is a high level of training in vocational subjects as well as other training to reinforce proper respect towards residents. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 11 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, and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Seddon Court provides activities which need to be developed and advertised so that residents are stimulated. The home promotes family contacts and provides a good standard of food so that residents are care for appropriately in both areas. EVIDENCE: The pre-inspection questionnaire listed a number of activities available to residents including: keep fit, bingo, singing session, shopping, holy communion, theatre trips and day trips, although attendance is variable. Interviews with care workers confirmed other activities are undertaken such as going out to cafes, trips to Southport and a weekly musical entertainment. However, these are not advertised on the units and the registered manager confirmed that he had difficulties with organising activities because of the unpredictability of the residents, which means that planning is difficult. One family member said her mother just sat in the unit as staff were “too busy to occupy residents” and another commented on the lack of staff involvement but this was not a problem raised by families generally as it had been in the past. Observations on the days of the inspection showed residents reasonably content and occupied with some attending the hairdresser and others listening to music in a relaxed atmosphere. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 12 Contact with families confirmed that there was an open visiting policy and they could see their relative where and how they wished. One family member said she was not welcomed by staff but this was the exception. Other comments from family members included describing Seddon Court as a “nice home” and another that his relative was “quite happy” and general satisfaction from relatives was quite high. Interviews with managers confirmed the difficulty with one family but stated this was the exception. The home has kept the Commission informed of this particular case consistently and has been open about the difficulties. Information received prior to the inspection showed full menus of a varied nature confirming that appropriate food was being served. The breakfast menu appeared minimal but interviews with the managers and care workers confirmed that residents can choose whatever food they wish for breakfast and revealed no problems in this area. Observation of one meal during the inspection showed a pleasant, calm occasion with residents being supported as necessary to participate. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Seddon Court manages both complaints and protection procedures to ensure that residents are safeguarded. EVIDENCE: The home has a clear complaints’ policy to enable residents and families openly express concerns. An examination of the complaints’ book showed that there had been one since the last inspection and this was recorded fully and appropriately showing a positive attitude to complaints. As noted earlier, an ongoing concern between the home and one family had been referred to the Commission for consideration which is ongoing. Other families contacted were satisfied with their relatives’ care, one family member said that his relative was “quite settled” and “very happy with Seddon Court”. St Helens Council has full policies and procedures for the protection of residents from abuse to ensure the good practice in this area. There has been no recent allegation of abuse in Seddon Court but staff have been trained in this area so that any such allegation will be dealt with appropriately. The home has full policies and practices to safeguard residents’ financial matters and an examination of records during the inspection showed that both policies and procedures in this area were of a good standard; this included an external audit which was taking place at the end of the inspection. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The premises are fit for their purpose but require more domestic cover so that standards are maintained. EVIDENCE: The pre-inspection questionnaire detailed some redecoration to four rooms, the lounge, reception/conservatory, rear of building and to all doors and a tour of the premises confirmed the improvement the redecoration has made. The last inspection made a requirement that a programme of redecoration and refurbishment be set out and the redecoration, which cost £16,000, is the first part of this. The actual schedule was not in the home but the registered manager confirmed that it was in place and would be implemented to further improve the physical condition of the home. All bedrooms seen now have a comfortable chair which was a requirement of the last inspection to enable residents use their bedrooms as they wish. Care workers confirmed the Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 15 improvement to the environment as did families contacted who were happy with the premises. A tour of the premises found some odours and this was greater than on the last occasion. An interview with one member of the domestic staff confirmed that she was the only one on duty that day and this has happened on a number of occasions recently instead of the two domestic staff that would be normally on duty. This member of the domestic staff confirmed that she also has to cover kitchen duties and the result is that she is not doing as much cleaning as previously for example she is not cleaning under the beds, which is a particular problem because of the behaviour of some residents. An interview with the registered manager confirmed that there were problems with domestic cover due to staff sicknesses and, in particular, the holiday period resulting in a lower standard of cleanliness. One relative contacted had asked for her mother’s carpet to be shampooed due to an offensive odour and this has not yet occurred which meant that the problem continued. Two other comment cards received from relatives also mentioned the problem of odours meaning they see it as a problem. The home has had an outbreak of vomiting and diarrhoea in the past, which was dealt with properly so that the consequences were minimised. The home has the requisite number of facilities, including sluicing facilities, to maintain standards although the shortage of domestic staff is working against this. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home recruits and employs staff according to correct procedures so that residents are properly supported. Staff are trained, including through vocational training, to a good standard so that they are competent in their work. EVIDENCE: The pre-inspection questionnaire showed that staff rotas ensure that appropriate numbers are on duty to care for residents. The home is fully staffed, including managers, although staff sickness continues to affect the home. Interviews with care workers confirmed that they were able to fulfil their role with the numbers employed although interviews with relatives showed they felt staff were very busy and, although generally complimentary, wondered whether they are too busy at times to fully undertake all their tasks. Interviews with care workers showed them experienced in their work and knowledgeable about the residents. The pre-inspection questionnaire revealed that 61 of care workers have a vocational qualification and an interview with the assistant manager showed that three care workers are funding themselves to do a higher level course and that managers are being offered further training by the Council. Training documents also confirmed the level of qualifications and also a good level of training generally in the home so that staff are fully equipped for their work. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 17 Previous inspections of homes and agencies managed by St Helens Council confirmed that full and thorough recruitment procedures are in place to ensure the safe recruitment of staff. The Council has a full Equal Opportunities Policy and is offering training in Anti Discriminatory Practices so all staff will be aware of this subject. The inspection showed, in addition, that a Staff Handbook is issued which includes full details of the Code of Conduct and other matters so that staff are fully aware of their responsibilities. An examination of training records confirmed that staff have been receiving good training opportunities so that they remain up to date in their knowledge. There has been no new member of staff appointed since the last inspection so induction training could not be checked although previous induction has been of a good standard. Training records show that regular refresher training is now being provided and that all staff have received moving and handling training which was a requirement from the last inspection and ensures the safety of staff and resident alike. The Council has a full learning and development plan and it is particularly commendable that individual training is being linked to the standards for older people so that there is an integrated approach. Interviews with staff confirmed they had received recent training and they all felt generally that they had been well trained for their role although this was not the case with medicine training. Relatives contacted were generally very complimentary about the staff with the one exception previously mentioned. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is managed positively and safely for the benefit of staff and residents alike. Some monitoring systems are in place but these need to be expanded so that improvements can be made. Staff need to be better supervised so that they can be fully supported in their work. EVIDENCE: The registered manager remains unchanged and he is fully qualified and experienced for his position. An examination of training records confirmed that he has had a number of training courses this year so that he is updating his knowledge appropriately. He is only responsible for Seddon Court and there are clear lines of accountability within the home and external to it so that staff, residents and families are aware of the differing responsibilities. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 19 The registered manager produced a new Customer and Service User Satisfaction Survey consisting of a range of possible questions which is to be sent to families and other stakeholders in the home so that a greater range of consultation takes place. This reflects a development of the questionnaire previously in use and shows a commitment to developing a monitoring system. There is not yet a full quality assurance system in place but elements of it do exist. As noted earlier, at the time of the inspection a financial audit was taking place and regular visits to the home are made by managers so that there is external monitoring. Files seen contained individual receipts for monies spent so that the process is accountable. In addition, the home has individual records for each resident’s finances which again gives a clear picture of individual accounts. The preinspection questionnaire detailed financial arrangements showing that no residents handle their own finances, four residents’ financial affairs are handled by the Director of Social Services and that proper accounting procedures are in place including individual savings accounts so that there is no pooling of monies. An examination of records showed that staff have had an appraisal but no other formal supervision in the recent past so that there is a lack of direction. Within the appraisal process there is a section on equality and diversity to remind staff of issues under this heading. Interviews with staff confirmed that formal supervision was rare and two care workers felt they were not well supported due to the line management arrangements in the home. An interview with the registered manager confirmed that he is aware of these problems and will consider reorganising his management team to address these problems. The problem of formal supervision of staff has been ongoing for some considerable time and this needs urgent attention as was stressed in an interview with the registered manager. A tour of the premises found them to be a safe area for the care of residents being both well maintained and secure. There is a lack of storage space but this did not present as a hazard during the inspection. Training in health and safety matters, particularly moving and handling, has been provided since the last inspection and others are to be refreshed as required so that health and safety matters receive full attention. There was a fire risk assessment dated March 2006 but the last fire drill was 22nd July 2005 which is out of date. There was a full risk assessment of the premises in February 2006 which confirmed that Seddon Court is a safe environment for residents. Hot water temperatures checked were of the required level to protect residents and accidents and injuries are reported correctly to ensure proper attention to these matters. As noted earlier, there was an outbreak of vomiting and diarrhoea which was managed correctly to demonstrate that the home will manage any such incident correctly. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 20 Seddon Court Elderly Persons Home DS0000034059.V302247.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 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 N/A 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 1 X 3 Seddon Court Elderly Persons Home DS0000034059.V302247.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 OP36 Regulation 18 Requirement The registered manager to ensure that staff are supervised at the required intervals. (Previous timescales of 1st June 2005 not met and 1st June 2006 not met.) The registered manager to ensure that care plans exist for each resident receiving respite care. (Previous timescales of 1st August 2005 not met and 1st February 2006 not met). Care plans also to be in place for all permanent residents. The registered manager to ensure that medication sheets are correctly completed. (Previous timescale of 1st February 2006 not met). Further training in medication to be arranged. The registered manager to ensure that full assessment documentation is provided on all residents, including those receiving respite care. DS0000034059.V302247.R01.S.doc Timescale for action 01/01/07 2. OP7 15 01/01/07 3. OP9 13 (2) 01/11/06 4. OP3 14 01/11/06 Seddon Court Elderly Persons Home Version 5.2 Page 23 5. OP12 16 6. 7. OP19 OP26 23 16 8. OP33 24 The registered manager to ensure that activities in the home are detailed and listed in the units. The registered manager to ensure that regular fire drills are undertaken. The registered manager to ensure that domestic staff are employed in sufficient numbers to maintain standards of cleanliness. The registered provider to implement the quality assurance system. 01/01/07 01/11/06 01/11/06 01/04/07 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 OP7 Good Practice Recommendations The registered manager is recommended to combine the care plans and reviews and maintain them on the units. Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Seddon Court Elderly Persons Home DS0000034059.V302247.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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