Inspection on 18/09/07 for Sherwood House Care Centre

This inspection was carried out on 18th September 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sherwood House Care Centre 18/09/08

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

CARE HOMES FOR OLDER PEOPLE Sherwood House Care Centre 209-211 Maidstone Road Rochester Kent ME1 3BU Lead Inspector Anne Butts Key Unannounced Inspection 18 September 2007 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 Sherwood House Care Centre DS0000069651.V346380.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. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sherwood House Care Centre Address 209-211 Maidstone Road Rochester Kent ME1 3BU 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) 01634 843132 01634 311485 sherwoodhouse@blueyonder.co.uk www.sherwoodhousecare.co.uk Hapee Care Ltd Care Home 30 Category(ies) of Dementia - over 65 years of age registration, with number of places Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) 2. Dementia (DE). The maximum number of service users to be accommodated is 30. Date of last inspection New Service Brief Description of the Service: Sherwood House is a four storey building situated on the outskirts of Rochester. It offers 30 places to older people with dementia and there is a mixture of single and shared accommodation. Fifteen bedrooms benefit from en-suite facilities. The Home was originally two houses and is on four floors. Being an older property it has high ceilings and still has the original fireplaces in the lounge areas. The Home does have a lift for those service users who cannot manage the stairs. There is also a coach house at the rear of the grounds. There is both a front and rear garden. There is both on and off road parking. The Home is on a busy road, which is served by a regular bus service. The town of Rochester is the nearby. At the time of this inspection the fees charged by the Home range from £290.00 - £463.38 per week. The Home accepts service users who are paid for through the local authority funding or private service users - and the range of fees are dependent with what is agreed within the contract. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Sherwood House has recently come under new ownership and this was the first key unannounced visit since the new owner took over. In order to gain a full overview of the service several different methods were used to obtain information. This included a completed Annual Quality Assurance Assessment (AQAA), which is now a legal requirement for all services to provide each year. Feedback from surveys sent to service users, their relatives and care professionals. Time was also spent touring the building, talking to staff and reviewing assessments, care plans and other relevant documents. Time was also spent observing as to how service users are assisted in their day-to-day living and also where possible speaking to service users. Because people with dementia are not always able to tell us about their experiences we used a formal way to observe people in this inspection. This is known as the ‘Short Observational Framework for Inspection’ (SOFI) and this involved us observing five people who use the service for two hours. This included their state of well-being and how staff interacted with individual people and any activities they participated in. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable The Commission for Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. Further information can be found on the CSCI website with regards to the Inspecting for Better Lives process including information on KLORA’s and AQAA’s. What the service does well: There is an in depth and full assessment process so people can be confident that the home will be able to meet their needs. People are fully supported in relation to their health needs. People living in the home can be confident that their personal monies are protected through the home’s systems and that these protect them with regards to their own finances – they are supported in accordance with their individual needs. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 6 There are good systems and structures in place for the monitoring of the health and safety of the home and the people living in it. Staff treated people with respect and generally recognised their diverse needs. Dignity is promoted by staff speaking sensitively to people and supporting them discreetly. There is good staff moral with all staff spoken with demonstrating a genuine caring nature for all of the people living in the home. What has improved since the last inspection? What they could do better: The Statement of Purpose and Service Users Guide would better inform people if it were made available in a format more suitable for the people living in the home. People would also benefit if there were more information on how the home will support peoples right to maintain their privacy and dignity. Individual contracts need to contain all the details as required by the National Minimum Standards and associated regulations in order to fully protect individual rights to tenancy. Although generally care plans are to a good standard they would benefit from taking a more person centred approach so that staff can be clear about people’s wishes and the expectations of them in their role. More details or information relating to peoples life history would also further support staff. The fridge used to store medication is not to a suitable standard and needs replacing, as it does not maintain correct temperatures. There are a variety of activities and pastimes available for people, but those who tended to be quieter may not always benefit from appropriate stimulation in their daily lives. People would generally benefit from being able to go out more. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 7 People who tended to show repetitive behaviour were not always responded to in a timely manner that supported them. We felt through the observation that it was not appropriate for people to receive visits of a religious nature in the communal area and arrangements should be made for privacy. The ongoing programme for staff training needs to continue with all staff completing the appropriate training. 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. Sherwood House Care Centre DS0000069651.V346380.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 Sherwood House Care Centre DS0000069651.V346380.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): 1, 2, 3, 4 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current and prospective service users are provided with information about the services they can expect, although they would benefit from clearer details about the philosophy of the home. Prospective service users are fully assessed prior to moving into the home to ensure assessed needs can be met. EVIDENCE: There is a Statement of Purpose and Service Users Guide in place that provides basic information about the service for current and prospective residents. They are not clear, however, about the criteria for admission into the home including any emergency admissions or trial periods. Although both documents were clear about service users rights and how the home will achieve a quality service there was minimal reference to the arrangements for Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 10 respecting the privacy and dignity of service users and how the home will support people through a person centred approach. The contract similarly was not as comprehensive as it might be and made no reference to any terms and condition that may be included in the Statement of Purpose that related to service users rights to tenancy. There was no statement about the furnishings that would be provided, only that rooms would be furnished to an acceptable standard. The style and the format of these documents is not necessarily suitable for the needs of the people who access this service and recommendations are being made that these documents need review, to include or expand upon some of the information provided and be available in a more suitable format. New service users are only admitted to the home on the basis of a full assessment. The home has comprehensive documentation relating to care needs assessment, there was some evidence to show that peoples preferences are taken into account through this process including information about peoples preferences, likes and dislikes. The assessment process centres mainly on daily living activities and gives details of the support people needed with tasks. The manager was also able to explain the assessment process, which included visiting people in their current environment, and obtaining details of needs from care managers. People are encouraged to visit the home prior to moving in. Staff are aware of the needs of the people living in the home and their training and induction covers the support needs specific to this service user group. The home does not provide intermediate care, although they do provide respite on an occasional basis. Sherwood House Care Centre DS0000069651.V346380.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 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from a clear and consistent care planning process, although the development of a more person centred approach would further promote people’s wishes and preferences. Service users are not adequately protected by the Home’s administration and recording of medication. EVIDENCE: As part of this visit people were observed using a formal process of observation known as SOFI (Short observational framework for inspection). Care plans for those people who were observed were reviewed; in order to make sure that care staff had an understanding of how to support people with their individual preferences. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 12 Overall care plans were reasonably detailed in that they contained information on the type of support people needed and the objectives of the staff. They were however very task orientated and concentrated on how to support people with their psychological and safety needs relating to their everyday care rather than taking into account their social and self-esteem needs. Although they identified a task based need – the details on how staff could support people with these was not specific. For example, one care plan stated that a service user needed full support with bathing and a hoist was to be used, but there were no details on how staff should support with this, and this was reflective in different care plans. In some care plans there was also some contradictory information in that where observation through the SOFI showed that a service user was unsteady, the actual care plan stated that the service user could manage her own mobility. Where there is task orientated support required then care plans need to be more specific in the outcomes of how staff will support. Where there are associated risk assessments – it is recommended that the care plan identifies this and that staff should refer to the particular risk assessment relating to the activity. Care plans did evidence that people’s choices should be taken into account. Care plans also identified behavioural issues and a brief way that staff can support people with this but they need further explanation on targets and goals for individuals. There was very little information provided, however, through a life history or pen portrait and it was not possible to gain a full idea of someone’s personality or individuality. Although staff were able to demonstrate that they had a good knowledge of each person, care plans do need to become more person centred in this respect. Health care needs were fully identified throughout the care planning and assessment process and this cross-referenced with records relating to daily notes and other records in the home. Weight records are maintained and peoples physical healthcare needs are fully supported. Through the care planning process there is room for improvement for how the home supports people with their emotional needs and as previously stated this could be addressed through more in depth and person centred orientated care plans. A review of medication records showed that overall this is well managed, with staff being trained and records being well maintained. There are regular audits and spot checks carried out with sample signatures and staff competency checked. The records, however, did not show photographs of all service users, so that there is an increased room for error and there were high concerns that the fridge is not maintaining the correct temperature and could therefore reduce the effectiveness of any medication stored in this. It is being recommended that there is photograph of each service user contained within their medication administration records and a requirement is being made that there is a new fridge provided so as to fully protect the health and welfare of people. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 13 There was a mixture of evidence provided that would support people with their privacy and dignity, and this involved observation, a review of care records and discussions with staff and people who use the service. We observed staff treating people with respect and maintaining their dignity. Choices, maintaining and promoting peoples privacy are reflected in the care plans. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from good daily support, however their continued wellbeing could be improved by the home reviewing activities so that they are designed to meet individual needs. Service Users do benefit from receiving a varied diet. EVIDENCE: Time was spent observing people in the main lounge for the majority of the morning using the SOFI as a recording method. Whilst we were sitting in the lounge staff arranged a music and dance session for service users. People were free to choose to join in the dancing if they wished and observations showed that staff were generally considerate towards people and interacted well with them. There was, however very little interaction with people who were not interested in joining in the dancing and many of the service users sitting in the main lounge tended to have very little attention. Those who mainly remained quiet tended not to receive as much attention as those who were more verbal. It was also identified that where people displayed repetitive Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 15 behaviour such as a constant calling out or rocking in the chair – it is obvious that staff have become used to this through custom & practice & tended not to always respond. Where guidance was given within the care plans for staff – observation showed that this was not always being put into practice. The Manager has allocated one member of staff on each shift to take the lead in arranging activities for people and there was some evidence to show that there a variety of pastimes were arranged including arranged group activities with visiting organisations games, puzzles and one-to-one with staff members. Observations did show that people generally tended to sit in their preferred seats watching the television. The home needs to expand upon their activities and care plans would benefit from reflecting individual preferences and wishes for pastimes and this could be built up through people’s life histories so that staff can gain a better perspective on the individuality of the service users. The returned AQAA stated that the home was considering employing a full time activities co-ordinator and this would further enhance the daily lives and opportunities for stimulation for service users. We observed one lady receiving communion in the main lounge whilst the music and dancing was going on. The lady was woken up and became quite upset and the whole interaction was brief and not carried out in a manner that supported the lady’s privacy. On discussions with the Manager she stated that the priest tended just to turn up. A requirement is being made that people have the opportunity to receive visits of this nature in a manner that respects their privacy and dignity. Overall visitors are made welcome and the home operates an open door policy. Observations and records showed that people were generally supported in making their own choices and were free to move around the home as they wished. There is a varied menu in place with people being given a choice of meals. There is formatted documentation that is completed that provides a comprehensive record of the food provided. The home now employs a full time chef and people were observed to enjoy their meals. Comments from service users included “It was a nice dinner, I like the food”. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 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. 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. Service users and their relatives can be confident that their concerns will be listened to and taken seriously and that there are robust procedures in place to safeguard them. EVIDENCE: There is a complaints procedure in place and information about this is incorporated into the Service Users Guide. There have been no complaints and service users spoken all said that they were happy living in the home. Returned surveys from relatives generally stated that they were aware of the complaints procedure and that if they had any concerns then they had no hesitation in bringing it to the attention of the manager. There are procedures in place for Adult Protection and all staff have been made aware of these and sign to say that they have read and understood them. As part of the induction staff are also made aware of adult protection prior to attending a training day. When spoken to staff confirmed that they were aware of safeguarding people and were able to give examples of what action they would take if they had any concerns. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Ongoing improvements in the environment are benefiting people living in this home. EVIDENCE: At registration the new owner had made a commitment to improving the environment. Evidence was seen at this visit and improvements made include new carpets in many of the communal areas and some of the bedrooms. Some new furniture had been purchased and there are further plans for the ongoing redecoration and refurbishment of the property. New commodes have also been purchased and additional wheelchairs were on order for those people who are less mobile. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 18 The laundry has now been moved to a more suitable location with industrial machines installed. There is still some ’finishing off’ with regards to the walls, but this is far more suitable for the use of the home. The sluice, however, is still on the top floor and there were some concerns with regards to infection control as the hand-wash basin was being used for storage. A recommendation is being made that staff are made aware of issues relating to CoSHH (Control of substances hazardous to health) and infection control. There has been new equipment provided in the kitchen including a new fridge, cooker and dishwasher. New cutlery and crockery has also been purchased. The new provider is aware that there are still areas of redecoration and refurbishment that need addressing but has committed to address these on an ongoing basis. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s thorough and robust recruitment procedures and benefit from being cared for by people who have a good understanding of their needs. EVIDENCE: A selection of staff files were viewed and these all showed that recruitment procedures are adhered to. This includes completed application forms with full employment history, declaration of health and rehabilitation of offenders and two references. All staff have a current criminal records bureau (CRB) and protection of vulnerable adults (pova) check in place. All staff also complete a thorough induction based on the common induction standards from Skills for Care and this is in the form of a workbook and observations through practice. A senior member of staff supports them with this. There is a full staff training programme in place and staff have been trained in majority of the mandatory training elements including adult protection, medication, first aid – there are still some outstanding training needs including movement and handling and first aid and this does need to be organised. A Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 20 high proportion of staff have, however, either completed or are currently taking a course in dementia training. Several members of staff were spoken to and they were able to confirm the training they had undertaken. Speaking with staff it was evident that they genuinely cared for the people in the home and recognised their individual and diverse needs. Comments included; “I love working here the people living in the home are wonderful’ “We have a good staff team and everyone supports one another to make sure that the residents are well cared for”. “I have just done the dementia training – it was quite hard but it really helps me to recognise what people need”. Service users also said that they really liked the staff and found them very helpful. Observations through the SOFI also showed that staff generally treated people with respect and were patient and understanding with them. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a manager who is committed to supporting the people living in the home and they can be confident that there are systems in place to safeguard their wellbeing. EVIDENCE: The home is run by a manager and she is supported by two deputies. The manager has many years of experience in the care industry and has achieved qualifications in care. The new registered provider has a good understanding of the care needed to support people with dementia and is committed to improving the home. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 22 There is an open and positive atmosphere in the home with the manager available to support both the staff and the people living in the home. The provider is also visiting on a regular basis in order to support everyone. Staff stated that they felt well supported by the Manager and new provider and were happy that there were improvements being made. The provider does not collate Regulation 26 visits on a monthly basis and although it is acknowledged that he is fully aware of the issues within the home he does need to formalise this. Consideration should be given to making sure that the formal records of this evidence that people who are living in the home have an opportunity to state their opinions and that these are considered and taken into account. There are robust systems in place for safeguarding peoples’ personal monies, with detailed records and receipts kept. There are good systems in place for the auditing and monitoring the service. The manager provides a weekly report to the provider so that he is kept in touch with the wellbeing of the service users, and made aware of any issues that need addressing. In addition to this monthly checks are carried out on the health and safety of the home including clinical audits, maintenance, medication and housekeeping amongst others. Evidence was also seen that safety checks for appliances had been undertaken and regular fire drills were being carried out. There are risk assessments in place to support people in taking responsible risks, although some of these especially with regards to movement and handling need expanding upon so that they define as to how staff should assist with. The information from these risk assessments need to fully inform the care plans. Overall we found this to be a positive visit with outcomes for service users improving. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X 3 X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 (2) Requirement The registered person must make sure that medication is stored appropriately and at the right temperature. In order to make sure of this the fridge needs replacing. Suitable arrangements must be made to respect the privacy and dignity of people in that: When receiving visitors of a personal nature people are allowed for this to take place in private. All service users must have the opportunity to benefit from a range of activities that will suit their individual needs, preferences and wishes. Strong consideration should be given to employing a dedicated activities co-ordinator. “The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home” In that staff must make sure that they follow infection control procedures especially with DS0000069651.V346380.R01.S.doc Timescale for action 30/11/07 2 OP10 12 (4) (a) 31/10/07 3 OP12 16 (2) (n) 30/11/07 4 OP26 13 (3) 31/10/07 Sherwood House Care Centre Version 5.2 Page 25 5 OP38 26 regards to the sluice area. The registered provider must carry out formal visits in accordance with Regulation 26. These must be forwarded to us until agreed otherwise. Strong consideration should be given to evidencing that people who live in the home have their preferences and wishes taken into consideration. 31/10/07 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 OP1 Good Practice Recommendations It is recommended that Statement of Purpose and Service Users Guide be reviewed so that the information contained gives clearer guidance to current and prospective service users, especially with regards to the promotion of privacy and dignity and person centred care practices. Consideration should be given to the style of these documents in order to ensure that they in a format suitable for the people living in the home. It is recommended that the contract is more specific about the facilities provided in each room and is available in a style that that suits the needs of the people living in the home. Care plans should consider the life history, personality and strengths of people rather than focussing solely on areas of need so gaining a more rounded picture. It is recommended that service users individual medication records are clearly maintained in that there is an up to date photograph identifying the service user and their records. It is strongly recommended that the ongoing training programme continues to make sure that staff are trained in the specific needs of the people living in the home strong consideration should be given to training staff in person centred planning. DS0000069651.V346380.R01.S.doc Version 5.2 Page 26 2 OP2 3 4 OP7 OP9 5 OP30 Sherwood House Care Centre 6 OP38 Outcomes from risk assessments especially with regards to movement and handling must be fully incorporated into the care plans. Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Sherwood House Care Centre DS0000069651.V346380.R01.S.doc Version 5.2 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. 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