Inspection on 12/11/08 for Sherwood View Care Home

This inspection was carried out on 12th November 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sherwood View Care Home 10/12/07

Sherwood View Care Home 22/02/07

Sherwood View Care Home 02/02/06

Sherwood View Care Home 05/10/05

Sherwood View Care Home 12/01/05

Sherwood View Care Home 07/07/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sherwood View Care Home 29 Village Street Derby DE23 8TA     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Helen Macukiewicz     Date: 1 2 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Sherwood View Care Home 29 Village Street Derby DE23 8TA 01332271941 F/P01332271941 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) European Care (SW) Ltd Type of registration: Number of places registered: care home 39 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: To allow Sherwood View Care Home to accommodate one individual named in the proposal notice dated 13/01/06, who is under the age of 65 years old. Date of last inspection Brief description of the care home Sherwood View is a purpose built home providing nursing and personal care for up to 39 people aged 65 years and over. The home is located next door to another home owned by the same company. The home has 31 single and 4 double bedrooms located on the ground and first floor. All rooms except one have en-suite facilities. Access to the first floor is by stairs and a passenger lift. Sherwood View is approximately three miles from the Derby City Centre, and is close to local shops and facilities. Communal areas consist of a large lounge and dining area and a quiet room on the ground floor. Additionally there is a large conservatory and a garden area. The current range of weekly fees at the home is from £314.00 to £568.80, this includes chiropody, basic toiletries and laundry. Additional toiletries and hairdressing are extra. Previous 0 Over 65 39 Care Homes for Older People Page 4 of 28 Brief description of the care home inspection reports are located in the office at the home. The operations manager provided this information. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This Inspection was unannounced and lasted 7.5 hours during one day. The operations manager had completed a self-assessment of the home and information from this was used in the planning of this inspection. Computer held records of all contact between the Home and the Commission for Social Care Inspection since the last Inspection were also referred to in the planning of this visit. During this Inspection discussion with people who use the service and their relatives took place. Time was spent in discussion with visiting professionals, the programme manager and operations manager for European care, the newly appointed manager and staff. Five care files belonging to people who lived at the home were looked at in detail and their care was examined to see how well records reflect care practices within the home. Relevant records belonging to the home were also examined such as complaints and policy documents. A brief tour Care Homes for Older People Page 6 of 28 of the home took place including some bedrooms. We last inspected this service on 10th December 2007. Throughout this report use of us or we refers to the Inspector/Commission for Social Care Inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the right information to choose a home that can meet their needs. Assessment procedures ensure people are not admitted inappropriately. Evidence: The information provided about the home, called the service users guide and statement of purpose had been updated to provide people with more accurate information about the services provided. Copies were seen in bedrooms so people could look at them anytime. One relative of a recently admitted person said they had been given the right amount of information when choosing the home, and had been able to look around and select the bedroom they wanted. In their completed pre-inspection self assessment the operations manager told us that we carry out comprehensive pre-assessment visits. We encourage prospective residents to come and spend an afternoon at the home and have a meal prior to Care Homes for Older People Page 10 of 28 Evidence: moving in. We looked at the assessments for three recent admissions to the home. Two had been emergency admissions so the staff at the home had obtained Social Services/Health assessments. In the third file, a comprehensive assessment had taken place before the person was admitted. This showed that staff were assessing peoples needs to reduce the risk of inappropriate admissions to the home. Once admitted, people had a more thorough assessment of their needs undertaken by nursing staff. Three care files we saw showed this to be the case. In the fourth, this part of the documentation was missing, as the person had been admitted as an emergency for short term care. Although the person did have a partially completed care plan, this information alone would not have been enough to identify all actual and potential needs that could arise during the first few days of needing care. However, in this case, as Social Services assessment was in place and could be used for reference. People told us that the home had lived up to their expectations on admission, one said it is not like home, but its pretty good. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Gaps in documentation mean there is potential for care needs to be overlooked. Evidence: People told us that they were well cared for. One relative told us the home is fantastic, they have done as wonderful job, he has been looked after well. One person living in the home said they were very satisfied with the care. People said that they could see their G.P. when needed and care records showed that people were receiving medical care and also visits by health professionals within the community. A community matron and occupational therapist were visiting people during the day of this Inspection. Medical equipment such as specialist mattresses and height adjustable beds were available. We looked at four peoples care records, three had a plan of care in place. Two were well written and contained clear directions for staff to follow. One did not cover all care needs as we observed that the person needed nail care and that their social needs had changed but this was not included in their care plan. The fourth care plan was not Care Homes for Older People Page 12 of 28 Evidence: completed in full although the person had been living in the home for about five days. However staff were able to give a good verbal account of their needs. Social care needs were not included within care plans, but had been assessed. Risk assessments in areas such as skin care, continence, nutrition and moving and handling had been identified and reviewed as needed. People told us that staff treated them with dignity and that they had enough privacy within the home, with the exception of one person who told us that staff did not always knock to request permission before entering their bedroom. We observed one member of staff who did not knock during the Inspection. There were a couple of areas that impacted upon peoples dignity. In three bedrooms there was a strong urine odour . Also, lists of instructions for staff were displayed in some bedrooms and in one communal bathroom. These would be better recorded in individual care plans and communicated to staff through handovers as they contained private information about peoples needs. We saw that medications were generally managed well by the home with the exception of one pot of cream that was found in the wrong persons bedroom. All medication charts were signed and contained clear records of what medications people were receiving. Although we observed that a larger cupboard for the safe storage of controlled medications was needed to ensure all medications are stored safely. Care Homes for Older People Page 13 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a lifestyle of their choosing although lack of structure for meeting social care needs impacts on peoples quality of life. Evidence: There had been a new activity person appointed about four weeks prior to this Inspection. This person told us that they had focused their time on getting to know people and on some individual and group exercises. It was their intention to start recording the activities that they did in individual files to show that people were being occupied during the day. This person was employed for two and a half days a week. At times when this person was not around care staff provided stimulation and we saw staff playing dominoes with people during the afternoon. A member of staff regularly brought in a newspaper for a person to read. People told us they felt positive about the appointment of the activity person but had not had time to feel any benefit as yet. The operations manager had organised some group activities, and staff took one person out regularly to the shop. However, people told us that although the operations manager had done her best, there had only been a few entertainers booked. One person told us they would like to walk around more Care Homes for Older People Page 14 of 28 Evidence: with staff, another told us they felt bored and isolated at times and that care staff did not have time to sit and talk much. Care plans showed that staff were assessing social needs but this was not followed through into a plan of care to show how staff would meet these needs. Whilst addressing diversity within the service in her completed pre-inspection self assessment, the operations manager wrote we have an Indian cook now who is able to provide food for our Indian residents.We treat everybody as a unique individual and try hard to cater for their individual needs.We celebrate many different festivals not just English ones. We employ a range of people from different races culture and background, we respect peoples choice about how they wish to live their lives.We encourage our residents to follow their chosen faith and welcome priests etc to visit. She also said we employ a range of staff and always ensure that we have Punjabi speaking staff on each shift to ensure that all our residents are able to communicate with staff and make their needs known. She wrote that future plans included we are looking into the idea of a faith wing to cater for our Indian residents where they can choose to go if they wish. One visiting professional that we spoke to said that the homes ability to meet the cultural needs of their client had led to a very positive and successful placement at the home. Staff that we spoke to confirmed that there was always a member of staff on duty who could communicate with people whose first language was not English. Staffing rotas supported this. People told us they could come and go as they wanted within the home although most people were in the lounge areas during the Inspection. The conservatory had been opened up and provided an indoor area for people to smoke. People were moving in and out of this area during the day. People who wanted to spend time in their bedroom could do so. Lots of visitor were coming and going throughout the day and one person attended a club once a week within their community. Peoples preferred daily routines were recorded in their plans of care. People told us that the food was good. One person said the food is pretty good, if you are hungry you ask for more, Ive never been refused yet. If I want a cup of tea, I have one. People confirmed that snacks were available between meals, including a supper time snack. One visiting professional told us that staff had bent over backwards to accommodate a persons special dietary needs. Care Homes for Older People Page 15 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are kept safe at the home and their rights are upheld. Evidence: The operations manager told us in her completed pre-inspection self-evaluation that the home had received four complaints since the last Inspection. This was consistent with records kept at the home. Records showed that the staff had been responsive to concerns raised, had investigated each one and provided a response in a timely way. The complaints procedure was on display in large print in the foyer area and also in the information provided about the home. Correct details on how to contact us were included. People told us that they felt happy about raising concerns and said that the manager was very good. Another person said Ive never had one complaint. There had been 2 safeguarding incidents since the last Inspection. The operations manager had worked appropriately with social services in both circumstances to bring the matters to a conclusion. There was a training programme in place for staff which included safeguarding training. Staff we spoke to said they had received this with the exception of the newly appointed activity person. The training programme showed there were some more staff who were yet to complete this training, but the operations manager had some future training dates available. The operations manager and newly appointed home manager had both attended Care Homes for Older People Page 16 of 28 Evidence: training on the Mental Capacity Act. They had appropriately sought advocacy for one person and had a good understanding of their responsibilities in this area. Where mechanical restraint was being used in the care of people, staff had made efforts to gain consent. Bedrails were subject to ongoing risk assessment when in use. The use of the sensor mat was not included in one persons risk management assessment and therefore had not been subject to a request for consent. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical layout promotes freedom of movement around the home. Lapses in hygiene and infection control standards pose a risk to people and affect their dignity. Evidence: We looked around the home including some bedrooms. The main areas of the home were well maintained and people had been able to personalise their bedrooms. Efforts had been made to make the decor in the bathroom areas more homely. There was space throughout the home to allow people good access in and around the building. There was a small enclosed garden area where people could walk outdoors, with seating. In bedrooms the standard of furnishings was variable. There had been some new furniture including beds provided. However, in some bedrooms there were worn commodes, a toilet seat had broken in an en-suite. In one bedroom the bedside furniture was damaged. Some bedtables were damaged and worn. In her completed self-assessment the operations manager told us we now have a new maintenance man working for the Derby European Care Homes and any maintenance problems are now resolved much quicker.We have purchased new furniture for the bedrooms, dining room and lounges. Many areas of the home have been re-furbished. She also said our home now has clear signs to help our residents find their way around. Care Homes for Older People Page 18 of 28 Evidence: People told us that they were generally satisfied with the laundry service. Although some items had got mixed up in the past they had put this down to items not being labeled. One person said the woman who runs the laundry is very good. Standards of cleanliness varied around the home. People told us that their rooms were cleaned every day and described the home as being very clean. We saw domestic staff hoovering bedrooms and corridor areas. However, some commodes, toilet cisterns and bedrail bumpers in bedrooms were not clean. A communal shower was visibly dirty around the plug hole. Three bedrooms contained a very strong urine odour and this would impact on the dignity of the three people living in those rooms and those living in adjacent areas. There were some infection control risks in the environment. Some of the light pull cords in toilet and bathroom areas were visibly stained. Some unlabeled cream was found in a bathroom cupboard which left the potential for it to be used communally. In one persons bedroom a catheter night bag had been left full, with no protective cap and no name/date label. Some commodes in peoples bedrooms were rusty and had not been effectively cleaned. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by experienced and well trained staff. Gaps in recruitment means there is the potential for people to be exposed to potentially unsuitable workers. Evidence: People told us that there were times when staff were less available than others. This was mainly during the evening and at night. However, people did say that staff would always respond to the call bell, even if they had to wait at busier times. Staff rotas showed that there were one or two qualified nurses on at all times and that there were at least four members of care staff on duty in the day and two at night. People told us that they got on well with staff. One said staff are very, very patient and they have always got time for me. The self-assessment completed by the operations manager showed that about 75 per cent of the total number of care staff were qualified to National Vocational Qualifications (NVQ) in care at Level 2, and that many were pursuing level 3. Care and catering/domestic staff we spoke to all said they had completed NVQs and were very happy with the level of training and support offered by the home. They had worked together for a number of years and described staffing as like a family. There was a low staff turnover and staff covered gaps in the staffing between them so there was seldom use of agency staff. This meant that people benefited from more continuity of Care Homes for Older People Page 20 of 28 Evidence: care. We looked at the recruitment files for three newly appointed staff. These showed that a written induction was used when people first commenced employment to ensure people were not exposed to inexperienced staff. Staff and staffing rotas also confirmed that new staff worked alongside someone more experienced as an extra member of staff when they first started. Recruitment files supported that people were police checked before they work at the home. The following information was not present and would provide better safeguards: Written verification why the person had ceased to work with vulnerable adults in previous employment was not being sought. One person had not signed the criminal disclosure part of their form. Staff training records showed an improvement since the last Inspection in the frequency and amount of mandatory training that staff received. Dementia training had been received by some staff and the operations manager told us that more was planned. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home is user focused and effective in raising standards. Incorrect storage of cleaning agents leaves people exposed to potential risks. Evidence: A new manager had been appointed since the last Inspection. In the interim period the operations manager had been in charge of the home. The new manager is yet to register with us but is a registered nurse with several years management experience. She completed her registered managers award in 2008. The operations manager and programme manager for European care continued to provide support. The home had achieved an investors in people award this year. We saw that regular audits of the building, care plans and medication were in place. Questionnaires were being sent out to people and their relatives on a six monthly basis and we saw the responses to the last ones sent out. These were largely positive and showed no areas for overall improvement. The operations manager told us that she hoped that the Care Homes for Older People Page 22 of 28 Evidence: newly appointed activities co-ordinator would recommence the residents/relatives meetings as a further way to gain their views and involvement. Regular monitoring visits were being made by the programme manager, who completed a visit report each time. The operations manager completed a self-assessment for us when we asked for it and this was completed with a good level of detail. Since the last Inspection the home had started to assist one person to manage their personal allowances. Records of transactions showed that these were safe and the system for receiving and giving out money reduced the risk of any financial irregularities occurring. We saw that equipment had been appropriately serviced, this reduced the risk to people caused by faulty equipment. Health and safety audits were documented every six months. We saw that safety information was available to staff, in the laundry area. Some day to day hazards were identified in relation to the storage of cleaning products. In one bathroom an unlabeled cleaning solution had been left at the side of the bath. Some cleaning products were also stored in a first floor sluice. Both areas were unlocked and therefore potentially accessible to people who may be wandering unsupervised in these areas. Care Homes for Older People Page 23 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 1) People must have a full care plan written that includes all areas of need. This is to ensure that peoples care needs are not overlooked and to provide clear direction for staff. 05/01/2009 2 9 13 2) A larger controlled drugs cupboard must be purchased. This is to ensure that controlled drugs, or drugs that need to be stored as controlled drugs can be safely stored. 31/01/2009 3 26 23 2 d) Toilet cisterns, commodes, bedside furniture, showers, light pull cords and bedrail covers must be kept clean. This is to ensure peoples hygiene is maintained and to prevent spread of infection around the home. 05/01/2009 Care Homes for Older People Page 25 of 28 4 26 23 2 d) Bedrooms identified during the Inspection must be kept free from urine odours. This is to ensure people have a clean environment to live in and that their dignity is upheld. 05/01/2009 5 29 19 and schedule 2) Staff must sign their criminal declaration for authenticity before being recruited. Written verification of the reasons why, in previous employment with vulnerable adults, a person ceased to work there must be obtained prior to them commencing employment. Where it is not possible to do so, a written explanation must be provided as evidence to support this has been attempted. This is to ensure people are not exposed to potentially unsuitable workers. 05/01/2009 6 38 4 a ) Chemical cleaning products must be appropriately labeled and stored in a locked area. This is to ensure people do not have access to potentially harmful cleaning products. 05/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. Care Homes for Older People Page 26 of 28 No. Refer to Standard Good Practice Recommendations 1 3 There should be a procedure in place to ensure that the assessment of peoples needs are completed as soon as possible after their admission, to ensure no care needs are overlooked. Prescribed creams should be kept in the persons bedroom for whom they were prescribed to ensure good infection control and to ensure people have the right creams for their use. Staff should ensure that bedrooms are kept free from urine odours, so this does not impact on the dignity of the occupants, and those using facilities in adjacent areas. Care instructions for staff should be contained within care plans and communicated through handovers, rather than displayed in bedrooms and bathrooms. People should be offered more meaningful stimulation during the day. Care plans should clearly identify how staff in the home will meet peoples social care needs, including the role of care staff at times when the activities person is not visiting the home. Where required, sensor mats should also be subject to risk assessment and consent, to ensure they are used appropriately, proportionately and with consent. Topical creams should be stored and retained for individual use to prevent spread of infection. Catheter night bags should be kept clean, capped and labelled to prevent the risk of infection. 2 9 3 10 4 10 5 12 6 18 7 8 26 26 Care Homes for Older People Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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