Inspection on 22/02/07 for Sherwood View Care Home

This inspection was carried out on 22nd February 2007.

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

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

Other inspections for this house

Sherwood View Care Home 12/11/08

Sherwood View Care Home 10/12/07

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Sherwood View Care Home 29 Village Street Derby Derbyshire DE23 8DF Lead Inspector Brian Marks Key Unannounced Inspection 22nd February 2007 9:00 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 View Care Home DS0000048929.V328929.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 View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sherwood View Care Home Address 29 Village Street Derby Derbyshire DE23 8DF 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) 01332 271941 01332 271941 European Care (SW) Ltd Vacant Care Home with nursing 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 2nd February 2006 Date of last inspection Brief Description of the Service: 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 £296 to £540. Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place at the home over a period of a day. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and other relevant documents and preparing a structured plan for the inspection. At the home, apart from examining documents, care files and records, time was spent speaking to the operations manager for the provider company and to six of the staff working at the home during the visit. The care records of four people who live at the home were examined in detail and all of the people living at the home who were able to communicate their views of the home clearly were spoken to. Because of the condition of the majority of residents of the home this was limited to five people. Two visitors who were at the home during the day were also seen, and after the inspection two more were spoken to by telephone. What the service does well: What has improved since the last inspection? What they could do better: No progress has been made towards providing a structured programme of activities for residents. This needs to be addressed as a priority, so that residents’ social needs are met. Action needs to be taken to review the use of the conservatory area, by providing adequate heating and/or ventilation and making alternative Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 6 arrangements for wheelchair storage and an area where residents may smoke without feeling cold. The programme of training needs to be reviewed so that staff are properly prepared to carry out their duties safely and consistently, and the system of formal staff supervision must be revived so that they are properly supported and their work monitored. 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 View Care Home DS0000048929.V328929.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 Sherwood View Care Home DS0000048929.V328929.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5 and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The system for the assessment of the care needs of people coming to the home has been improved so that they can be reassured that the home is suitable for them to live in but important areas of the assessments process are not carried out and staff may not be working completely safely. EVIDENCE: The Statement of Purpose and Service User Guide have been updated in 2006 but do not reflect the changed situation at the home with details of the newly appointed manager. Copies of the Service User Guide were available in all of the bedrooms visited. Contracts/terms and conditions were in place. The files of four residents were looked at during this inspection and all contained initial assessments of the needs of residents. The standard of the quality of information has continued to improve and generally information obtained at the time of admission to the home is satisfactory, although variable. There is little information recorded on the assessments about a person’s past social life and experiences and about them as a person and some Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 9 files did not indicate whether they or their representative had been involved in the process of developing car documentation. The files looked at have further additional assessments of areas of risk such as safe moving, falls, skin breakdown and pressure sores, bed safety and nutritional needs. Not all files held all of these documents of key information however. Residents spoken with considered that most of the staff had a good understanding and knowledge of their needs, although one said that new staff ‘were learning as they went along’. A number of new staff have been recruited since the last inspection and they confirmed that although they had time to work through an induction training programme, they had not had formal instruction in key areas. (See below). From discussions with residents and the visitors present, people wanting to come and live at the home are given opportunities to visit the home before coming to stay, as part of the assessment procedure. The home does not offer an intermediate care service so Standard 6 does not apply. Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 10 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 good. This judgement has been made using available evidence including a visit to this service. Care planning and risk assessment records promote safety and consistency in caring for residents and all of the residents spoken to were very positive about the home. However, not all of the relevant information is available to guide staff in meeting the needs of residents and improvements still need to be made to the medication systems to make it fully safe. EVIDENCE: The care plans of four residents were examined in detail and, as noted above improvements have been made to the standard of care planning documentation. However, there is still some variation in the standard of care plans with some care plans being detailed, specific and clearly setting out how to meet individuals’ needs, whilst another was just an amended copy of one that had been in place for the person’s previous stay, and up to date information may have been overlooked. In general, all care plans provided sufficient information to enable staff to meet the residents’ needs but not all files indicated that residents and/or relatives had been involved in their development, indicating that the process of care is not shared. All records indicated that routine monthly evaluations of the care plans and their Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 11 effectiveness are taking place. Care staff continue to record information about residents day-to-day lives, and this provided a clear picture of how the resident had been living at the home. Not all of the files examined contained details the personal wishes of the residents at the time of severe illness or post death. A review of medication was carried out to assess progress towards compliance with the requirements made at the previous inspection and progress was noted with just the need to have a second signature on the handwritten entries on the administration record requiring attention. Other aspects of the receipt, storage and administration of medicines to residents indicated these are generally satisfactory, as are arrangements for healthcare support from General Practitioners, other professionals and local hospitals. All residents spoken to or their relatives commented that staff care for them in ways that respect their dignity and privacy and this is underpinned by entries in the care plans examined. People were very positive about life at the home and the work carried out by its staff. Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. Although a structured programme of activities is not organised, residents reported that they enjoy a life that they find satisfying with good contacts maintained with family and friends. Standards in the kitchen are good, and the quality of meals is generally appreciated by residents. EVIDENCE: Following the departure of the activities coordinator there continues to be a lack of any regular social and leisure activities for residents, although those that were spoken to stated that they busied themselves around the home and that the more dependent residents appeared to be difficult to get involved. Staff also reported that during busy periods they were unable to spend much time with residents on a one to one basis, so that quality of life at the home suffers. Relatives and friends were encouraged to visit at any time and are encouraged to continue with caring activities if they wish; several residents regularly go out of the home accompanied by relatives. One of the residents spoken to has a regular weekly visit to a local community centre and also described that she goes out shopping by herself and manages to use taxis without an escort. She said that the home’s staff encourage her to carry on with these activities in Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 13 order to maintain her independence. Visits by family and friends and community contacts are well documented in the care records. The majority of residents and staff spoken to felt that the standard of meals provided were satisfactory, and that they were provided with a good choice and variety at the main meals. They reported that they could always have a cooked breakfast each day if they chose and there was always a choice of a hot option at teatime. Of particular note are arrangements for the minority of residents who are from another, particularly Asian, culture. Records and discussions indicated that they are particularly well catered for. One resident spoken to indicated that the presentation and quality ‘left room for improvement’ and commented on there not always being fresh fruit and vegetables within the meals arrangements; a visit to the kitchen indicated low stocks of both. Observation of the lunchtime meal indicated full support being offered to a number of residents and the service was carried out in an unhurried way. A visit to the kitchen indicated good standards of hygiene, storage and equipment and the assistant cook indicated that this had improved considerably following a recent visit by the Environmental Health Officer. Purchase of a new dishwasher had made a particular impact on arrangements. Records in the kitchen are maintained to a high standard. Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure and aims to protect residents from harm, although staff have not received appropriate training in the latter. EVIDENCE: Since the last inspection two complaints have been received by the management of the home and these have been fully investigated and appropriately responded to in order to maintain resident health, safety and welfare. Overall the use and incidence of the home’s complaints procedure has become much reduced since the current providers took over the running of the home and responses to complaints are more timely. Since the last inspection there have been no instances of the use of the statutory procedures to for the protection of vulnerable people but not all staff have received training in respect of their responsibilities for recognising and reporting abuse, and awareness of the subject may not be as high as it should be. A detailed policy and procedure is in place for the home’s management and staff to be guided by. Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 15 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards of maintenance, cleanliness and hygiene of the home have been continued, although some items of work are indicated to improve resident safety and welfare. EVIDENCE: From a tour of the communal areas and kitchen of the building and visits to number of bedrooms, the standard of maintenance was found to be generally satisfactory with areas of the home having been redecorated since the last inspection. Although some heating had been provided in the conservatory area, the members of the home’s line management present at home agreed that it was not a very welcoming area and had largely been given over to storing wheelchairs and used by the small number of residents who smoke. This also meant that the window had to be left open whilst residents were smoking. Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 16 All areas of the home visited during this inspection were clean and tidy and free from odours. A visitor spoken to commented that this was a muchimproved aspect of the home since the current proprietors took over running it. Residents spoken to had no complaints about the laundry service of the home and all residents observed in the home wore clean and well-presented clothing. Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 17 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 adequate. This judgement has been made using available evidence including a visit to this service. The needs of residents are met by a group of staff who are selected by a clear recruitment system and usually on duty in adequate numbers. The provision of a good and safe standard is affected by irregular shortfalls in the second of these and in the standards of staff training and qualification. EVIDENCE: Examination of the staff rota indicated that the previously agreed levels of nursing and care staff have been maintained and that a low level of staff turnover and vacancies had been enjoyed since the last inspection. Although, on paper, this meets the minimum standards required by law it was noted that on the day of the inspection there was one care staff on sick leave, a not uncommon state of affairs according to the staff spoken to. Whilst they also said that they had still been able to complete all physical care tasks required, they did feel that informal time sitting with residents had not occurred. Success or otherwise of this occurring is dependent on the level of committed teamwork taking place. None of the residents or visitors spoken to felt that care standards had been undermined but did feel that staff were usually busy most days. Staff also felt that their ability to deliver high standards of care was hampered by irregular shortfalls within the laundry, domestic and kitchen areas and for them having to cover shortfalls in the ‘linked’ home next door. From discussion with the home’s management and staff reasonable levels of staff training had been enjoyed by established staff but newly appointed staff Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 18 had learned new skills ‘on the job’ through their induction programme. As a result there were shortfalls in key health and safety areas and the protection of vulnerable adults (referred to elsewhere in this report). Accurate assessment of achievements was not done due to the absence of an accurate ‘matrix’ and overall training record; management monitoring and prioritising was also difficult to achieve for the same reason. A good level of enrolment onto NVQ2 training has been addressed and the target for achievement for care staff should be achieved by the end of this year. Given the recent history of the home, the target date indicated at the end of this report is agreed to be appropriate. Newly appointed staff described a proper system for staff recruitment for staff being in place and a check of individual files confirmed this, although a recent photograph had not been received within the proof of identity checks required by the home. Overall the staff spoken to were quite positive about working at the home and felt that good teamwork was possible in spite of the occasional difficulties. This was confirmed by discussions with residents and their relatives who were positive about living at the home and the improvements that have occurred. Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Standards in administration and management of the home have been maintained, in spite of the absence of an established manager. Systems related to the ability to monitor the quality of care provided at the home, to support the work of staff and to maintain the safety of the home are not fully in place. EVIDENCE: The Registered Manager who was at the home at the last inspection has recently left and a successor has been appointed but is not due to commence work until April 2007. Suitable arrangements for sustaining the management of the home were described by the operations manager during the inspection. Whilst the company operating the home has systems for assessing and monitoring the standards of care provided at the home the programme of Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 20 assessing and analysing of recently carried out surveys of residents’ and relatives’ opinion has not been fully put into place and is ‘a job in hand’. The operations manager, in the home on the day of the inspection, was carrying out the monthly audit required of care providers by law and stated that this activity will be carried out on a regular basis to make sure that standards at the home continue to improve. As reported at previous inspections there are clear procedures in place to safe guard residents’ money and these have continued to be maintained properly. A programme of formal staff (1-to-1) supervision had been established for all staff following the last inspection but this has gone into decline since the last manager left the home. Staff spoken to said that they are well supported on an informal basis however and, with good teamwork becoming established, they felt that they are always able to get problems resolved and that most people take responsibility for ‘getting things done’. An audit of health and safety matters was carried out and whilst standards were generally satisfactory there were a number of shortfalls noted which affect the safety and welfare of residents: There were shortfalls in all key areas of staff training and development – fire safety, safe moving and handling, emergency first aid, food safety and the control of infection. Records of fire safety indicated some practices not being carried out or not being recorded. The annual testing of portable electrical appliances (PAT) was overdue. Sherwood View Care Home DS0000048929.V328929.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 3 X 2 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 2 X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 2 Sherwood View Care Home DS0000048929.V328929.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 OP1 Regulation 4(1), 5(1) Requirement The Statement of Purpose and Service User Guide must be reviewed and amended to include up to date to refer to the new management arrangements of the home. All hazards and risks in the lives of residents of the home, and steps taken to manage them, must be identified and documented in written form. All staff must individually and collectively have the skills and experience to deliver the services and care that the home offers to provide. (Previous timescales of 30/04/06 not met). The person completing hand written medication records must sign and date these, and the records must be checked for accuracy and countered signed by another person. A structured programme of activities, appropriate to the capabilities of residents must be put in place. (Previous timescales of 31/12/05 DS0000048929.V328929.R01.S.doc Timescale for action 31/05/07 2. OP3 13(4) 31/05/07 3. OP4 12(1)(a)( b)18(1)(a ) 31/08/07 4. OP9 13(2) 31/03/07 5. OP12 16(2) 31/08/07 Sherwood View Care Home Version 5.2 Page 23 6. OP18 13(6) 7. OP20 23(2) (e)(l)(p). 8. OP27 18(1)(a) 9. OP28 18(1)(c) 10. 11. OP29 OP30 19(1) Schedule 2 18(1) 12. OP33 24(1) 13. OP36 18(2) and 30/04/06 not met). All staff must receive appropriate training or instruction in their responsibilities to protect vulnerable adults from harm. The conservatory area must be improved so that the majority of residents and their visitors can use it: Improvements must be made to the room’s heating. Alternative arrangements must be made for the storage of wheelchairs and for accommodating the small number of smokers who live at the home. The management of the home must carry an urgent review of the staffing arrangements to ensure that all areas of activity are serviced properly and that shortfalls are addressed. The speedy establishment of new contracts for existing staff and the employment of relief staff will ensure this position is achieved. The target of 50 of staff having the National Vocational Training (NVQ) level 2 must be achieved by the due date. All newly appointed staff must provide a recent photograph as proof of identity. All staff must receive training appropriate to the work they are to perform. (Previous timescale of 30/04/06 not met) Systems for the monitoring and assessing quality standards at the home must be fully introduced. All staff must receive formal (1to-1) supervision at least 6 times a year. (Previous timescale of 30/04/06 DS0000048929.V328929.R01.S.doc 31/05/07 31/05/07 30/04/07 31/12/07 30/04/07 30/07/07 30/07/07 30/04/07 Sherwood View Care Home Version 5.2 Page 24 14. OP38 18(1)(a) & (c)(i) 15. OP38 23(2) not met). All staff must receive training in mandatory safe working practices. (Previous timescale of 30/04/06 not met) All portable electrical appliances must be subject to regular testing for their safety. 30/06/07 30/04/07 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. 2. 3. 4. 5. Refer to Standard OP7 OP9 OP11 OP11 OP15 Good Practice Recommendations Care plans should demonstrate resident/relative involvement. The management of the home frequently documents and carries out medication audits at the home. Residents’ wishes concerning terminal care and arrangements after death should be discussed and recorded. All staff should receive training in care of the dying. The provision of dining tables and chairs should be reviewed to meet the needs of current and future residents. The provision of fresh fruit and vegetables should be maintained. Residents should be further consulted about the presentation and quality of meals provided. A written plan for redecoration and refurbishment of the building should be put in place. An annual training and development plan and individual training records for all staff should be developed. 6. 7. 8. OP15 OP19 OP30 Sherwood View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 View Care Home DS0000048929.V328929.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!